45D2283042 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #06294

Laboratory Demographics

  • CLIA Code: 45D2283042
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #06294
  • Facility Address: 5212 ANTOINE DR
    HOUSTON, TX
    ZIP 77092
  • Facility Phone: 713 682-2533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY GLAZEBROOK
  • NPI Number: 1003910811
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2283042
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #06294
Street 5212 ANTOINE DR
City HOUSTON
State TX
ZIP 77092
Phone 713 682-2533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director GARY GLAZEBROOK

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