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36D2223456 CLIA NUMBER - OHIO CVS STORES, LLC DBA CVS/PHARMACY #06949

Laboratory Demographics

CLIA Number: 36D2223456

Facility Name: OHIO CVS STORES, LLC DBA CVS/PHARMACY #06949

Facility Address:
4801 W BROAD ST
COLUMBUS, OH
ZIP 43228
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1366545022

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 36D2223456
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC DBA CVS/PHARMACY #06949
Street 4801 W BROAD ST
City COLUMBUS
State OH
ZIP 43228
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/6/2023
CertificateExpirationDate 5/5/2025
FacilityType Waiver

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