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45D2273672 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #06991

Laboratory Demographics

CLIA Number: 45D2273672

Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #06991

Facility Address:
4166 S STAPLES
CORPUS CHRISTI, TX
ZIP 78411
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1245334069

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2273672
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #06991
Street 4166 S STAPLES
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 12/16/2022
CertificateExpirationDate 12/15/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024