49D2219320 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #16977

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Laboratory Demographics

CLIA Number: 49D2219320

Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #16977

Facility Address:
1090 STAFFORD MARKET PL
STAFFORD, VA
ZIP 22556
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Facility Phone Number: 401 773-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467474148

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	49D2219320
LAB Type	Pharmacy
Facility Name	VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #16977
Street	1090 STAFFORD MARKET PL
City	STAFFORD
State	VA
ZIP	22556
Phone	401 773-6431
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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