49D2186540 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 3328

Laboratory Demographics

CLIA Number: 49D2186540

Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 3328

Facility Address:
6911 WALMSLEY BOULEVARD
RICHMOND, VA
ZIP 23235
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043275977

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	49D2186540
LAB Type	Pharmacy
Facility Name	VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 3328
Street	6911 WALMSLEY BOULEVARD
City	RICHMOND
State	VA
ZIP	23235
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