45D2281462 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07430

Laboratory Demographics

  • CLIA Code: 45D2281462
  • Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07430
  • Facility Address: 8555 FERGUSON RD
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 214 320-0892
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWIT KIDANE
  • NPI Number: 1124122924
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281462
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVSPHARMACY #07430
Street 8555 FERGUSON RD
City DALLAS
State TX
ZIP 75228
Phone 214 320-0892
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 DAWIT KIDANE

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