45D2221993 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07742

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Laboratory Demographics

CLIA Number: 45D2221993

Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07742

Facility Address:
5659 LEMMON AVE
DALLAS, TX
ZIP 75209
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Facility Phone Number: 401 765-1500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114021912

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2221993
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVS PHARMACY #07742
Street	5659 LEMMON AVE
City	DALLAS
State	TX
ZIP	75209
Phone	401 765-1500
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024