45D2232528 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #08345

Laboratory Demographics

  • CLIA Code: 45D2232528
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #08345
  • Facility Address: 5195 LAKE RIDGE PKWY
    GRAND PRAIRIE, TX
    ZIP 75052
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAISY SARPONG
  • NPI Number: 1760623227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2232528
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #08345
Street 5195 LAKE RIDGE PKWY
City GRAND PRAIRIE
State TX
ZIP 75052
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 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director DAISY SARPONG

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