45D2256088 CLIA NUMBER - CVS/PHARMACY, INC. DBA CVS/PHARMACY # 03505

Laboratory Demographics

CLIA Number: 45D2256088

Facility Name: CVS/PHARMACY, INC. DBA CVS/PHARMACY # 03505

Facility Address:
102 NORTH US 81
KYLE, TX
ZIP 78640
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851567861

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 45D2256088
LAB Type Pharmacy
Facility Name CVS/PHARMACY, INC. DBA CVS/PHARMACY # 03505
Street 102 NORTH US 81
City KYLE
State TX
ZIP 78640
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 3/21/2024
CertificateExpirationDate 3/20/2026
FacilityType Waiver

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