42D2226531 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY LLC DBA

Laboratory Demographics

  • CLIA Code: 42D2226531
  • Facility Name: SOUTH CAROLINA CVS PHARMACY LLC DBA
  • Facility Address: 510 TOM HALL ST
    FORT MILL, SC
    ZIP 29715
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN SOFIO
  • NPI Number: 1881797553
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2226531
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY LLC DBA
Street 510 TOM HALL ST
City FORT MILL
State SC
ZIP 29715
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director RYAN SOFIO

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This page was last updated on: 9/29/2025