45D2225236 CLIA NUMBER - CVS PHARMACY, INC CVS PHARMACY #16322

Laboratory Demographics

CLIA Number: 45D2225236

Facility Name: CVS PHARMACY, INC CVS PHARMACY #16322

Facility Address:
7608 NE ZAC LETZ PKWY
VICTORIA, TX
ZIP 77904
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144303777

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	45D2225236
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC CVS PHARMACY #16322
Street	7608 NE ZAC LETZ PKWY
City	VICTORIA
State	TX
ZIP	77904
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/19/2023
CertificateExpirationDate	5/18/2025
FacilityType	Waiver

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