45D2283549 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #07187

Laboratory Demographics

  • CLIA Code: 45D2283549
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #07187
  • Facility Address: 17307 BULVERDE ROAD
    SAN ANTONIO, TX
    ZIP 78247
  • Facility Phone: 210 404-9054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GODWIN CATALLA
  • NPI Number: 1417219312
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2283549
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #07187
Street 17307 BULVERDE ROAD
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 404-9054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director GODWIN CATALLA

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