45D2222547 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #11065

Laboratory Demographics

  • CLIA Code: 45D2222547
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #11065
  • Facility Address: 9215 MIDWAY RD
    DALLAS, TX
    ZIP 75220
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIVEN HIDELL
  • NPI Number: 1558872143
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2222547
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #11065
Street 9215 MIDWAY RD
City DALLAS
State TX
ZIP 75220
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director NIVEN HIDELL

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