45D2221870 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #06864

Laboratory Demographics

  • CLIA Code: 45D2221870
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #06864
  • Facility Address: 701 FERRIS AVE
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IRENE TUMUNA
  • NPI Number: 1144242819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2221870
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #06864
Street 701 FERRIS AVE
City WAXAHACHIE
State TX
ZIP 75165
Phone 401 765-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director IRENE TUMUNA

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