45D2282851 CLIA NUMBER - CVS PHARMACY, INC DBA CVSPHARMACY #11324

Laboratory Demographics

CLIA Number: 45D2282851

Facility Name: CVS PHARMACY, INC DBA CVSPHARMACY #11324

Facility Address:
150 BAILEY RANCH ROAD
ALEDO, TX
ZIP 76008
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Facility Phone Number: 682 703-4401

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750937066

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	45D2282851
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA CVSPHARMACY #11324
Street	150 BAILEY RANCH ROAD
City	ALEDO
State	TX
ZIP	76008
Phone	682 703-4401
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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