45D2223992 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #05260

Laboratory Demographics

  • CLIA Code: 45D2223992
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #05260
  • Facility Address: 3401 W WALNUT HILLS LN
    IRVING, TX
    ZIP 75038
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KACY VU
  • NPI Number: 1023199981
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2223992
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #05260
Street 3401 W WALNUT HILLS LN
City IRVING
State TX
ZIP 75038
Phone 401 765-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director KACY VU

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