34D2284190 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03812

Laboratory Demographics

  • CLIA Code: 34D2284190
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03812
  • Facility Address: 5471 UNIVERSITY PKWY
    WINSTON-SALEM, NC
    ZIP 27105
  • Facility Phone: 336 744-2321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN KIRBY
  • NPI Number: 1982707741
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2284190
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03812
Street 5471 UNIVERSITY PKWY
City WINSTON-SALEM
State NC
ZIP 27105
Phone 336 744-2321
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 JORDAN KIRBY

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