42D2226526 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03203

Laboratory Demographics

CLIA Number: 42D2226526

Facility Name: SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03203

Facility Address:
35 SOUTH MAIN STREET
GREENVILLE, SC
ZIP 29601
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619995370

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2226526
LAB Type	Pharmacy
Facility Name	SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03203
Street	35 SOUTH MAIN STREET
City	GREENVILLE
State	SC
ZIP	29601
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