45D2224055 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #08440

Laboratory Demographics

  • CLIA Code: 45D2224055
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #08440
  • Facility Address: 4205 N JOSEY LN
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSIDY BAKER
  • NPI Number: 1194829911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2224055
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #08440
Street 4205 N JOSEY LN
City CARROLLTON
State TX
ZIP 75010
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 CASSIDY BAKER

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