45D2281458 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07287

Laboratory Demographics

  • CLIA Code: 45D2281458
  • Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07287
  • Facility Address: 2454 JUPITER RD
    PLANO, TX
    ZIP 75074
  • Facility Phone: 972 578-8607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAITE MOYERS
  • NPI Number: 1295839082
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281458
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVSPHARMACY #07287
Street 2454 JUPITER RD
City PLANO
State TX
ZIP 75074
Phone 972 578-8607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director MAITE MOYERS

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