45D2185580 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY # 11099

Laboratory Demographics

CLIA Number: 45D2185580

Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY # 11099

Facility Address:
3050 W. UNIVERSITY BLVD
ODESSA, TX
ZIP 79764
Get Directions

Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710466610

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2185580
LAB Type	Pharmacy
Facility Name	CVS PHARMACY INC DBA CVS/PHARMACY # 11099
Street	3050 W. UNIVERSITY BLVD
City	ODESSA
State	TX
ZIP	79764
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024