45D2283552 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #00835

Laboratory Demographics

  • CLIA Code: 45D2283552
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #00835
  • Facility Address: 103 W EDINBURG AVE
    ELSA, TX
    ZIP 78543
  • Facility Phone: 956 262-6292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONY OOMMEN
  • NPI Number: 1861783276
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2283552
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #00835
Street 103 W EDINBURG AVE
City ELSA
State TX
ZIP 78543
Phone 956 262-6292
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 SONY OOMMEN

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