45D2221149 CLIA NUMBER - CVS PHARMACY INC DBA CVS/PHARMACY #07716

Laboratory Demographics

  • CLIA Code: 45D2221149
  • Facility Name: CVS PHARMACY INC DBA CVS/PHARMACY #07716
  • Facility Address: 1836 PAT BROOKER ROAD
    UNIVERSAL CITY, TX
    ZIP 78148
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHETT MEYERS
  • NPI Number: 1740384551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2221149
LAB Type Pharmacy
Facility Name CVS PHARMACY INC DBA CVS/PHARMACY #07716
Street 1836 PAT BROOKER ROAD
City UNIVERSAL CITY
State TX
ZIP 78148
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 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director RHETT MEYERS

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