45D2217998 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #07787

Laboratory Demographics

CLIA Number: 45D2217998

Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #07787

Facility Address:
2220 CROSS TIMBERS RD
FLOWER MOUND, TX
ZIP 75028
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407950215

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	45D2217998
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVS/PHARMACY #07787
Street	2220 CROSS TIMBERS RD
City	FLOWER MOUND
State	TX
ZIP	75028
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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