45D2281963 CLIA NUMBER - CVS PHARMARCY, INC DBA CVS/PHARMACY #02328

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Laboratory Demographics

CLIA Number: 45D2281963

Facility Name: CVS PHARMARCY, INC DBA CVS/PHARMACY #02328

Facility Address:
3205 S ALAMEDA ST
CORPUS CHRISTI, TX
ZIP 78404
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Facility Phone Number: 361 814-8305

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265704092

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2281963
LAB Type	Pharmacy
Facility Name	CVS PHARMARCY, INC DBA CVS/PHARMACY #02328
Street	3205 S ALAMEDA ST
City	CORPUS CHRISTI
State	TX
ZIP	78404
Phone	361 814-8305
CertificateType	4
CertificateEffectiveDate	5/15/2023
CertificateExpirationDate	5/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024