49D2220287 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #17159

Laboratory Demographics

CLIA Number: 49D2220287

Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #17159

Facility Address:
1995 E MARKET STREET
HARRISONBURG, VA
ZIP 22801
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184009557

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 49D2220287
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS PHARMACY #17159
Street 1995 E MARKET STREET
City HARRISONBURG
State VA
ZIP 22801
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 4/12/2023
CertificateExpirationDate 4/11/2025
FacilityType Waiver

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