49D2284554 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07081

Laboratory Demographics

  • CLIA Code: 49D2284554
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07081
  • Facility Address: 11127 JEFFERSON AVE
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: (757) 594-1374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK AULTICE
  • NPI Number: 1548492689
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2284554
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07081
Street 11127 JEFFERSON AVE
City NEWPORT NEWS
State VA
ZIP 23601
Phone 7575941374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Pharmacy
Lab Director PATRICK AULTICE

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This page was last updated on: 5/15/2026