34D2283578 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03589

Laboratory Demographics

  • CLIA Code: 34D2283578
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03589
  • Facility Address: 6131 SIX FORKS RD.
    RALEIGH, NC
    ZIP 27609
  • Facility Phone: 919 847-5458
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH AMOO
  • NPI Number: 1699878462
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2283578
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03589
Street 6131 SIX FORKS RD.
City RALEIGH
State NC
ZIP 27609
Phone 919 847-5458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director JOSEPH AMOO

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