45D2222626 CLIA NUMBER - CVS PHARMACY INC, DBA CVS/PHARMACY #10979

Laboratory Demographics

  • CLIA Code: 45D2222626
  • Facility Name: CVS PHARMACY INC, DBA CVS/PHARMACY #10979
  • Facility Address: 17900 WEST LAKE HOUSTON PARKWAY
    HUMBLE, TX
    ZIP 77346
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARYANA MILADA
  • NPI Number: 1548774979
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2222626
LAB Type Pharmacy
Facility Name CVS PHARMACY INC, DBA CVS/PHARMACY #10979
Street 17900 WEST LAKE HOUSTON PARKWAY
City HUMBLE
State TX
ZIP 77346
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 MARYANA MILADA

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