45D2281327 CLIA NUMBER - CVS PHARMACY, INC. DBA CVS/PHARMACY #04186

Laboratory Demographics

  • CLIA Code: 45D2281327
  • Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #04186
  • Facility Address: 1950 BAGDAD RD.
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 528-1193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA BOULOS
  • NPI Number: 1962694984
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281327
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC. DBA CVS/PHARMACY #04186
Street 1950 BAGDAD RD.
City CEDAR PARK
State TX
ZIP 78613
Phone 512 528-1193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director SANDRA BOULOS

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