45D2224378 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #03573

Laboratory Demographics

  • CLIA Code: 45D2224378
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #03573
  • Facility Address: 110 WESTGREEN BLVD
    KATY, TX
    ZIP 77450
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH FASFASSIAN
  • NPI Number: 1891899688
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2224378
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #03573
Street 110 WESTGREEN BLVD
City KATY
State TX
ZIP 77450
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 SARAH FASFASSIAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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