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

Laboratory Demographics

  • CLIA Code: 45D2185580
  • Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY # 11099
  • Facility Address: 3050 W. UNIVERSITY BLVD
    ODESSA, TX
    ZIP 79764
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAN VU
  • NPI Number: 1710466610
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Pharmacy
Lab Director BAN VU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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