45D2185241 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #04625

Laboratory Demographics

  • CLIA Code: 45D2185241
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #04625
  • Facility Address: 525 W PARKER RD
    PLANO, TX
    ZIP 75023
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA ABRAHAM
  • NPI Number: 1376647107
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2185241
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #04625
Street 525 W PARKER RD
City PLANO
State TX
ZIP 75023
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 CHRISTINA ABRAHAM

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