32D2185865 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY #5994

Laboratory Demographics

  • CLIA Code: 32D2185865
  • Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY #5994
  • Facility Address: 1202 N RIVERSIDE DR
    ESPANOLA, NM
    ZIP 87532
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA MBA
  • NPI Number: 1851657464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2185865
LAB Type Pharmacy
Facility Name CVS PHARMACY INC DBA CVS/PHARMACY #5994
Street 1202 N RIVERSIDE DR
City ESPANOLA
State NM
ZIP 87532
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Pharmacy
Lab Director VANESSA MBA

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This page was last updated on: 9/29/2025