45D2222154 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #16707

Laboratory Demographics

CLIA Number: 45D2222154

Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #16707

Facility Address:
1401 W GLADE RD
EULESS, TX
ZIP 76039
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Facility Phone Number: 401 765-1500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578585238

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	45D2222154
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVS PHARMACY #16707
Street	1401 W GLADE RD
City	EULESS
State	TX
ZIP	76039
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