45D2225359 CLIA NUMBER - CVS PHARMACY, INC. DBA CVS/PHARMACY #04732

Laboratory Demographics

CLIA Number: 45D2225359

Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #04732

Facility Address:
100 EAST UNIVERSITY BLVD.ODESSA
ODESSA, TX
ZIP 79762
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003838764

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 45D2225359
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC. DBA CVS/PHARMACY #04732
Street 100 EAST UNIVERSITY BLVD.ODESSA
City ODESSA
State TX
ZIP 79762
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/20/2023
CertificateExpirationDate 5/19/2025
FacilityType Waiver

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