42D2226523 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801

Laboratory Demographics

CLIA Number: 42D2226523

Facility Name: SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801

Facility Address:
2152 SAVANNAH HWY
CHARLESTON, SC
ZIP 29414
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1275591448

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	42D2226523
LAB Type	Pharmacy
Facility Name	SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801
Street	2152 SAVANNAH HWY
City	CHARLESTON
State	SC
ZIP	29414
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/1/2023
CertificateExpirationDate	5/31/2025
FacilityType	Waiver

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