45D2185239 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY #11097

Laboratory Demographics

  • CLIA Code: 45D2185239
  • Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY #11097
  • Facility Address: 20125 EVA STREET
    MONTGOMERY, TX
    ZIP 77356
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA MURRAY
  • NPI Number: 1427225283
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2185239
LAB Type Pharmacy
Facility Name CVS PHARMACY INC DBA CVS/PHARMACY #11097
Street 20125 EVA STREET
City MONTGOMERY
State TX
ZIP 77356
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 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Pharmacy
Lab Director ANDREA MURRAY

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