34D2284132 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07513

Laboratory Demographics

  • CLIA Code: 34D2284132
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07513
  • Facility Address: 4309 NEW BERN AVE (NWC)
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 231-2858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN ASHTEN
  • NPI Number: 1982911616
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2284132
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07513
Street 4309 NEW BERN AVE (NWC)
City RALEIGH
State NC
ZIP 27610
Phone 919 231-2858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Pharmacy
Lab Director JONATHAN ASHTEN

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