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34D2284341 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07559

Laboratory Demographics

CLIA Number: 34D2284341

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07559

Facility Address:
2017 W. WEBB AVE
BURLINGTON, NC
ZIP 27217
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Facility Phone Number: 336 221-8861

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1184727869

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 34D2284341
LAB Type Physician Office
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07559
Street 2017 W. WEBB AVE
City BURLINGTON
State NC
ZIP 27217
Phone 336 221-8861
CertificateType 4
CertificateEffectiveDate 6/21/2023
CertificateExpirationDate 6/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024