45D2225091 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10268

Laboratory Demographics

  • CLIA Code: 45D2225091
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10268
  • Facility Address: 710 HIGHWAY 361
    PORT ARANSAS, TX
    ZIP 78373
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAKTA DEVISHBHAI
  • NPI Number: 1497179162
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2225091
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10268
Street 710 HIGHWAY 361
City PORT ARANSAS
State TX
ZIP 78373
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 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director BHAKTA DEVISHBHAI

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