45D2225150 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10540

Laboratory Demographics

  • CLIA Code: 45D2225150
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10540
  • Facility Address: 9089 FAIRS OAKS PARKWAY CVS/PHARMACY #10540
    FAIR OAKS RANCH, TX
    ZIP 78015
  • Facility Phone: 866 389-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IJEOMA UGWU
  • NPI Number: 1114327434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2225150
LAB Type Physician Office
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10540
Street 9089 FAIRS OAKS PARKWAY CVS/PHARMACY #10540
City FAIR OAKS RANCH
State TX
ZIP 78015
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 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director IJEOMA UGWU

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