45D2220817 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY #07829

Laboratory Demographics

  • CLIA Code: 45D2220817
  • Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY #07829
  • Facility Address: 16580 HUEBNER ROAD
    SAN ANTONIO, TX
    ZIP 78248
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES LEE
  • NPI Number: 1750485561
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2220817
LAB Type Pharmacy
Facility Name CVS PHARMACY INC DBA CVS/PHARMACY #07829
Street 16580 HUEBNER ROAD
City SAN ANTONIO
State TX
ZIP 78248
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 Pharmacy
Lab Director JAMES LEE

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