34D2283491 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04390

Laboratory Demographics

  • CLIA Code: 34D2283491
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04390
  • Facility Address: 5008 HWY 70 WEST
    MOREHEAD CITY, NC
    ZIP 28557
  • Facility Phone: 252 726-0555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA FELLENZER
  • NPI Number: 1790888568
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2283491
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04390
Street 5008 HWY 70 WEST
City MOREHEAD CITY
State NC
ZIP 28557
Phone 252 726-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director JESSICA FELLENZER

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This page was last updated on: 9/29/2025