45D2220787 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #06955

Laboratory Demographics

  • CLIA Code: 45D2220787
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #06955
  • Facility Address: 8027 KITTY HAWK
    CONVERSE, TX
    ZIP 78109
  • Facility Phone: 401 770-6431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER EVERETT
  • NPI Number: 1427326131
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2220787
LAB Type Physician Office
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #06955
Street 8027 KITTY HAWK
City CONVERSE
State TX
ZIP 78109
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 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director ALEXANDER EVERETT

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