45D2282100 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10403

Laboratory Demographics

  • CLIA Code: 45D2282100
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10403
  • Facility Address: 8049 FM 2673 CVS/PHARMACY #10403
    CANYON LAKE, TX
    ZIP 78133
  • Facility Phone: 830 899-9700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SIDHU JASROZ
  • NPI Number: 1518389006
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282100
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10403
Street 8049 FM 2673 CVS/PHARMACY #10403
City CANYON LAKE
State TX
ZIP 78133
Phone 830 899-9700
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 SIDHU JASROZ

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