45D2218073 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY #07729

Laboratory Demographics

CLIA Number: 45D2218073

Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY #07729

Facility Address:
1605 W 4TH ST #12
CAMERON, TX
ZIP 76520
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548367048

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 45D2218073
LAB Type Pharmacy
Facility Name CVS PHARMACY INC DBA CVS/PHARMACY #07729
Street 1605 W 4TH ST #12
City CAMERON
State TX
ZIP 76520
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