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45D2224380 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #17283

Laboratory Demographics

CLIA Number: 45D2224380

Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #17283

Facility Address:
23912 COMMERCIAL DR
ROSENBERG, TX
ZIP 77471
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1114024619

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2224380
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #17283
Street 23912 COMMERCIAL DR
City ROSENBERG
State TX
ZIP 77471
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/12/2023
CertificateExpirationDate 5/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024