45D2256186 CLIA NUMBER - CVS PHARMACY, INC DBA CVS PHARMACY #07292

Laboratory Demographics

  • CLIA Code: 45D2256186
  • Facility Name: CVS PHARMACY, INC DBA CVS PHARMACY #07292
  • Facility Address: 1101 EAST HIGHWAY 377
    GRANBURY, TX
    ZIP 76048
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWARD EGBOR
  • NPI Number: 1740387232
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2256186
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS PHARMACY #07292
Street 1101 EAST HIGHWAY 377
City GRANBURY
State TX
ZIP 76048
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2026
Certificate Expiration Date 3/21/2028
Facility Type Pharmacy
Lab Director EDWARD EGBOR

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This page was last updated on: 5/18/2026