45D2222100 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07719

Laboratory Demographics

  • CLIA Code: 45D2222100
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07719
  • Facility Address: 2900 W ANDERSON LN STE 1 0
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER THOMPSON
  • NPI Number: 1609970409
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2222100
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #07719
Street 2900 W ANDERSON LN STE 1 0
City AUSTIN
State TX
ZIP 78757
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 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director ALEXANDER THOMPSON

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