45D2281966 CLIA NUMBER - CVS PHARMARCY, INC DBA CVS/PHARMACY #05858

Laboratory Demographics

  • CLIA Code: 45D2281966
  • Facility Name: CVS PHARMARCY, INC DBA CVS/PHARMACY #05858
  • Facility Address: 15038 NACOGDOCHES RD
    SAN ANTONIO, TX
    ZIP 78247
  • Facility Phone: 210 646-7045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON BROWN
  • NPI Number: 1306148473
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2281966
LAB Type Pharmacy
Facility Name CVS PHARMARCY, INC DBA CVS/PHARMACY #05858
Street 15038 NACOGDOCHES RD
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 646-7045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Pharmacy
Lab Director JASON BROWN

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