45D2224373 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #03177

Laboratory Demographics

  • CLIA Code: 45D2224373
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #03177
  • Facility Address: 5204 RICHMOND AVE
    HOUSTON, TX
    ZIP 77056
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALAM HAMADNEH
  • NPI Number: 1063516888
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2224373
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #03177
Street 5204 RICHMOND AVE
City HOUSTON
State TX
ZIP 77056
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 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director SALAM HAMADNEH

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