45D2256172 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10264

Laboratory Demographics

  • CLIA Code: 45D2256172
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10264
  • Facility Address: 1118 S WW WHITE ROAD
    SAN ANTONIO, TX
    ZIP 78220
  • Facility Phone: 866 389-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIMITRE WILLIAMS
  • NPI Number: 1366884595
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2256172
LAB Type Physician Office
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10264
Street 1118 S WW WHITE ROAD
City SAN ANTONIO
State TX
ZIP 78220
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 Physician Office
Lab Director SHIMITRE WILLIAMS

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