42D2282342 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04150

Laboratory Demographics

CLIA Number: 42D2282342

Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04150

Facility Address:
700 N MAIN STREET
MARION, SC
ZIP 29571
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Facility Phone Number: 843 423-1021

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407959273

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	42D2282342
LAB Type	Pharmacy
Facility Name	SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04150
Street	700 N MAIN STREET
City	MARION
State	SC
ZIP	29571
Phone	843 423-1021
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