38D2223125 CLIA NUMBER - OREGON CVS PHARMACY, LLC DBA CVS/PHARMACY #16154

Laboratory Demographics

CLIA Number: 38D2223125

Facility Name: OREGON CVS PHARMACY, LLC DBA CVS/PHARMACY #16154

Facility Address:
3790 CENTER ST NE
SALEM, OR
ZIP 97301
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548282262

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	38D2223125
LAB Type	Pharmacy
Facility Name	OREGON CVS PHARMACY, LLC DBA CVS/PHARMACY #16154
Street	3790 CENTER ST NE
City	SALEM
State	OR
ZIP	97301
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Waiver

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