45D2256167 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #06865

Laboratory Demographics

  • CLIA Code: 45D2256167
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #06865
  • Facility Address: 1099 W MAIN ST
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KHUONG LY
  • NPI Number: 1437253242
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2256167
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #06865
Street 1099 W MAIN ST
City LEWISVILLE
State TX
ZIP 75067
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 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director KHUONG LY

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