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45D2222135 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07453

Laboratory Demographics

CLIA Number: 45D2222135

Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07453

Facility Address:
2200 COIT RD CVS PHARMACY #07453
PLANO, TX
ZIP 75075
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Facility Phone Number: 401 765-1500

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922106772

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 45D2222135
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #07453
Street 2200 COIT RD CVS PHARMACY #07453
City PLANO
State TX
ZIP 75075
Phone 401 765-1500
CertificateType 4
CertificateEffectiveDate 4/27/2023
CertificateExpirationDate 4/26/2025
FacilityType Waiver

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