45D2256533 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10996

Laboratory Demographics

  • CLIA Code: 45D2256533
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10996
  • Facility Address: 9663 W FM 1097 RD
    WILLIS, TX
    ZIP 77318
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WEIWEI DAI
  • NPI Number: 1962944330
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2256533
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10996
Street 9663 W FM 1097 RD
City WILLIS
State TX
ZIP 77318
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 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Pharmacy
Lab Director WEIWEI DAI

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