45D2282785 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07487

Laboratory Demographics

CLIA Number: 45D2282785

Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07487

Facility Address:
100 E MAIN ST
MIDLOTHIAN, TX
ZIP 76065
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Facility Phone Number: 972 775-8203

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649377144

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2282785
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVSPHARMACY #07487
Street	100 E MAIN ST
City	MIDLOTHIAN
State	TX
ZIP	76065
Phone	972 775-8203
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024