42D2285145 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04071

Laboratory Demographics

  • CLIA Code: 42D2285145
  • Facility Name: SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04071
  • Facility Address: 733 S IRBY STREET
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 665-4475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY WILKINS
  • NPI Number: 1598868366
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2285145
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04071
Street 733 S IRBY STREET
City FLORENCE
State SC
ZIP 29501
Phone 843 665-4475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Pharmacy
Lab Director MARY WILKINS

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