34D2284180 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05595

Laboratory Demographics

  • CLIA Code: 34D2284180
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05595
  • Facility Address: 589 N MARTIN LUTHER KING JR DRIVE
    WINSTON SALEM, NC
    ZIP 27101
  • Facility Phone: 336 722-2792
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IZHAR ABDULLAH
  • NPI Number: 1154424638
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2284180
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05595
Street 589 N MARTIN LUTHER KING JR DRIVE
City WINSTON SALEM
State NC
ZIP 27101
Phone 336 722-2792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director IZHAR ABDULLAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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