42D2227507 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04693

Laboratory Demographics

  • CLIA Code: 42D2227507
  • Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04693
  • Facility Address: 1504 BLUE RIDGE BLVD
    SENECA, SC
    ZIP 29672
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNN CAPOBIANCO
  • NPI Number: 1154586063
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2227507
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04693
Street 1504 BLUE RIDGE BLVD
City SENECA
State SC
ZIP 29672
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 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director LYNN CAPOBIANCO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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