45D2281407 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07680

Laboratory Demographics

  • CLIA Code: 45D2281407
  • Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07680
  • Facility Address: 1870 W MORRE AVE PO BOX 1268
    TERRELL, TX
    ZIP 75160
  • Facility Phone: 972 563-7636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RATTIPORN LARSON
  • NPI Number: 1346344140
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281407
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVSPHARMACY #07680
Street 1870 W MORRE AVE PO BOX 1268
City TERRELL
State TX
ZIP 75160
Phone 972 563-7636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director RATTIPORN LARSON

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