45D2282830 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #07667

Laboratory Demographics

  • CLIA Code: 45D2282830
  • Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #07667
  • Facility Address: 2500 W PARK ROW DR
    PANTEGO, TX
    ZIP 76013
  • Facility Phone: 817 795-1919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENSON ONWUKA
  • NPI Number: 1891899696
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282830
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVSPHARMACY #07667
Street 2500 W PARK ROW DR
City PANTEGO
State TX
ZIP 76013
Phone 817 795-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director BENSON ONWUKA

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