45D2224516 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10579

Laboratory Demographics

CLIA Number: 45D2224516

Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10579

Facility Address:
4600 BROADWAY STREET
ALAMO HEIGHTS, TX
ZIP 78209
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700252194

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	45D2224516
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVS/PHARMACY #10579
Street	4600 BROADWAY STREET
City	ALAMO HEIGHTS
State	TX
ZIP	78209
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/13/2023
CertificateExpirationDate	5/12/2025
FacilityType	Waiver

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