45D2224901 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #02391

Laboratory Demographics

  • CLIA Code: 45D2224901
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #02391
  • Facility Address: 15607 CHASE HILL BLVD
    SAN ANTONIO, TX
    ZIP 78256
  • Facility Phone: 866 389-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TALA SALIM
  • NPI Number: 1831469048
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2224901
LAB Type Physician Office
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #02391
Street 15607 CHASE HILL BLVD
City SAN ANTONIO
State TX
ZIP 78256
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 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director TALA SALIM

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