45D2282098 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10843

Laboratory Demographics

  • CLIA Code: 45D2282098
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10843
  • Facility Address: 19244 MCDONALD STREET
    LYTLE, TX
    ZIP 78052
  • Facility Phone: 830 772-3404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN ASENO
  • NPI Number: 1871787309
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282098
LAB Type Physician Office
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10843
Street 19244 MCDONALD STREET
City LYTLE
State TX
ZIP 78052
Phone 830 772-3404
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 Physician Office
Lab Director MAUREEN ASENO

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