45D2221987 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07645

Laboratory Demographics

  • CLIA Code: 45D2221987
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07645
  • Facility Address: 500 N GALLOWAY SUITE 2
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BABATUNDE ADETORO
  • NPI Number: 1477657278
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2221987
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #07645
Street 500 N GALLOWAY SUITE 2
City MESQUITE
State TX
ZIP 75149
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 BABATUNDE ADETORO

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