45D2281408 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07702

Laboratory Demographics

  • CLIA Code: 45D2281408
  • Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07702
  • Facility Address: 603 S CEDAR RIDGE DR
    DUNCANVILLE, TX
    ZIP 75137
  • Facility Phone: 972 296-3891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALU AMADI
  • NPI Number: 1164526968
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281408
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVSPHARMACY #07702
Street 603 S CEDAR RIDGE DR
City DUNCANVILLE
State TX
ZIP 75137
Phone 972 296-3891
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 KALU AMADI

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