45D2282099 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10141

Laboratory Demographics

  • CLIA Code: 45D2282099
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10141
  • Facility Address: 5975 OLD PEARSALL RD
    SAN ANTONIO, TX
    ZIP 78242
  • Facility Phone: 210 623-6645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANASTASIA KRAVCHENKO
  • NPI Number: 1023362480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282099
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10141
Street 5975 OLD PEARSALL RD
City SAN ANTONIO
State TX
ZIP 78242
Phone 210 623-6645
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 Pharmacy
Lab Director ANASTASIA KRAVCHENKO

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