34D2285885 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06408

Laboratory Demographics

CLIA Number: 34D2285885

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06408

Facility Address:
102 ROCKBARN RD
CONOVER, NC
ZIP 28613
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Facility Phone Number: 828 465-0301

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326141011

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	34D2285885
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06408
Street	102 ROCKBARN RD
City	CONOVER
State	NC
ZIP	28613
Phone	828 465-0301
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

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