45D2282020 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #07460

Laboratory Demographics

  • CLIA Code: 45D2282020
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #07460
  • Facility Address: 14900 JONES MALTSBERGER ROAD
    SAN ANTONIO, TX
    ZIP 78247
  • Facility Phone: 210 496-9545
  • Facility Type: Other - PHARMACIST
  • Facility Type: Waiver
  • Lab Director: MELISSA BRUMBALOW
  • NPI Number: 1427152214
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282020
LAB Type Other - PHARMACIST
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #07460
Street 14900 JONES MALTSBERGER ROAD
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 496-9545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other - PHARMACIST
Lab Director MELISSA BRUMBALOW

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