45D2232128 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #07607

Laboratory Demographics

  • CLIA Code: 45D2232128
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #07607
  • Facility Address: 13510 W. HIGHWAY 290
    AUSTIN, TX
    ZIP 78737
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KETAN DUDHARA
  • NPI Number: 1699065078
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2232128
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #07607
Street 13510 W. HIGHWAY 290
City AUSTIN
State TX
ZIP 78737
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 8/10/2023
Certificate Expiration Date 8/9/2025
Facility Type Pharmacy
Lab Director KETAN DUDHARA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025