45D2282910 CLIA NUMBER - CVS PHARMACY, INC. DBA CVS/PHARMACY #04599

Laboratory Demographics

  • CLIA Code: 45D2282910
  • Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #04599
  • Facility Address: 500 NO. BAGDAD RD.
    LEANDER, TX
    ZIP 78641
  • Facility Phone: 512 259-0130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAVEL SERDYUK
  • NPI Number: 1245543834
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2282910
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC. DBA CVS/PHARMACY #04599
Street 500 NO. BAGDAD RD.
City LEANDER
State TX
ZIP 78641
Phone 512 259-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Pharmacy
Lab Director PAVEL SERDYUK

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