34D2283623 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03918

Laboratory Demographics

  • CLIA Code: 34D2283623
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03918
  • Facility Address: 402 SOUTH MAIN STREET
    ROLESVILLE, NC
    ZIP 27571
  • Facility Phone: 919 554-0925
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELENE FONEBI
  • NPI Number: 1053414755
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2283623
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03918
Street 402 SOUTH MAIN STREET
City ROLESVILLE
State NC
ZIP 27571
Phone 919 554-0925
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 HELENE FONEBI

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