42D2282339 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04386

Laboratory Demographics

CLIA Number: 42D2282339

Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04386

Facility Address:
592 LANCASTER HIGHWAY
CHESTER, SC
ZIP 29706
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Facility Phone Number: 803 377-4137

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336242007

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2282339
LAB Type	Pharmacy
Facility Name	SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04386
Street	592 LANCASTER HIGHWAY
City	CHESTER
State	SC
ZIP	29706
Phone	803 377-4137
CertificateType	4
CertificateEffectiveDate	5/19/2023
CertificateExpirationDate	5/18/2025
FacilityType	Waiver

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