45D2192129 CLIA NUMBER - CARVAJAL PHARMACY LTC, LLC

Laboratory Demographics

  • CLIA Code: 45D2192129
  • Facility Name: CARVAJAL PHARMACY LTC, LLC
  • Facility Address: 119 HUIZAR STREET
    SAN ANTONIO, TX
    ZIP 78214
  • Facility Phone: 210 922-9031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADRIAN M AGUIRRE
  • NPI Number: 1265549638
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2192129
LAB Type Pharmacy
Facility Name CARVAJAL PHARMACY LTC, LLC
Street 119 HUIZAR STREET
City SAN ANTONIO
State TX
ZIP 78214
Phone 210 922-9031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director ADRIAN M AGUIRRE

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