34D2284184 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03524

Laboratory Demographics

  • CLIA Code: 34D2284184
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03524
  • Facility Address: 215 NORTH CENTER STREET
    STATESVILLE, NC
    ZIP 28677
  • Facility Phone: 704 872-6591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA HEGE
  • NPI Number: 1790888550
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2284184
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03524
Street 215 NORTH CENTER STREET
City STATESVILLE
State NC
ZIP 28677
Phone 704 872-6591
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 TARA HEGE

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