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49D2283468 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07577

Laboratory Demographics

CLIA Number: 49D2283468

Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07577

Facility Address:
4126 PLANTATION ROAD
ROANOKE, VA
ZIP 24012
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Facility Phone Number: 540 563-4968

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1073616710

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 49D2283468
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07577
Street 4126 PLANTATION ROAD
City ROANOKE
State VA
ZIP 24012
Phone 540 563-4968
CertificateType 4
CertificateEffectiveDate 6/8/2023
CertificateExpirationDate 6/7/2025
FacilityType Waiver

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