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

Laboratory Demographics

  • CLIA Code: 45D2221993
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07742
  • Facility Address: 5659 LEMMON AVE
    DALLAS, TX
    ZIP 75209
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VI HO
  • NPI Number: 1114021912
  • Taxonomy: 333600000X - Pharmacy

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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
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 VI HO

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