45D2221970 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07628

Laboratory Demographics

  • CLIA Code: 45D2221970
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07628
  • Facility Address: 7200 BLOULEVARD 26
    RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONGHO PARK
  • NPI Number: 1881798619
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2221970
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #07628
Street 7200 BLOULEVARD 26
City RICHLAND HILLS
State TX
ZIP 76180
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 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director JONGHO PARK

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