45D2224690 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #04880

Laboratory Demographics

  • CLIA Code: 45D2224690
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #04880
  • Facility Address: 805 W BUSINESS HWY 380
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 401 765-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DHIRAJ SINGH
  • NPI Number: 1376830067
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2224690
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #04880
Street 805 W BUSINESS HWY 380
City DECATUR
State TX
ZIP 76234
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 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director DHIRAJ SINGH

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