42D2226523 CLIA NUMBER - SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801

Laboratory Demographics

  • CLIA Code: 42D2226523
  • Facility Name: SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801
  • Facility Address: 2152 SAVANNAH HWY
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEA HERALD
  • NPI Number: 1275591448
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 42D2226523
LAB Type Pharmacy
Facility Name SOUTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03801
Street 2152 SAVANNAH HWY
City CHARLESTON
State SC
ZIP 29414
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2023
Certificate Expiration Date 5/31/2025
Facility Type Pharmacy
Lab Director SHEA HERALD

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This page was last updated on: 3/20/2025