42D2227510 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05515

Laboratory Demographics

  • CLIA Code: 42D2227510
  • Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05515
  • Facility Address: 601 HWY 17 NORTH
    SURFSIDE BEACH, SC
    ZIP 29575
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIN LEE
  • NPI Number: 1336679646
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 42D2227510
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05515
Street 601 HWY 17 NORTH
City SURFSIDE BEACH
State SC
ZIP 29575
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 BIN LEE

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