36D2185918 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #3474

Laboratory Demographics

CLIA Number: 36D2185918

Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #3474

Facility Address:
320 JEFFERSON STREET
IRONTON, OH
ZIP 45638
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467555110

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	36D2185918
LAB Type	Pharmacy
Facility Name	OHIO CVS STORES, LLC DBA CVS/PHARMACY #3474
Street	320 JEFFERSON STREET
City	IRONTON
State	OH
ZIP	45638
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	6/11/2022
CertificateExpirationDate	6/10/2024
FacilityType	Waiver

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