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

Laboratory Demographics

  • CLIA Code: 45D2256088
  • Facility Name: CVS/PHARMACY, INC. DBA CVS/PHARMACY # 03505
  • Facility Address: 102 NORTH US 81
    KYLE, TX
    ZIP 78640
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMON RIVERA
  • NPI Number: 1851567861
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director RAMON RIVERA

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