42D2285090 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVSPHARMACY #03542

Laboratory Demographics

  • CLIA Code: 42D2285090
  • Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVSPHARMACY #03542
  • Facility Address: 1210 WILSON ROAD
    NEWBERRY, SC
    ZIP 29108
  • Facility Phone: 803 276-6350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID CLARK
  • NPI Number: 1235232000
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2285090
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY, LLC DBA CVSPHARMACY #03542
Street 1210 WILSON ROAD
City NEWBERRY
State SC
ZIP 29108
Phone 803 276-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director DAVID CLARK

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