49D2186527 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 10013

Laboratory Demographics

CLIA Number: 49D2186527

Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 10013

Facility Address:
2981 MILITARY HIGHWAY S
CHESAPEAKE, VA
ZIP 23323
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285031609

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 49D2186527
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 10013
Street 2981 MILITARY HIGHWAY S
City CHESAPEAKE
State VA
ZIP 23323
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 6/18/2022
CertificateExpirationDate 6/17/2024
FacilityType Waiver

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