45D2284688 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #10631

Laboratory Demographics

  • CLIA Code: 45D2284688
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #10631
  • Facility Address: 3711 W DAVIS ST
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 523-1613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AEFSHA HOLLIDAY
  • NPI Number: 1710334370
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2284688
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #10631
Street 3711 W DAVIS ST
City CONROE
State TX
ZIP 77304
Phone 936 523-1613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Pharmacy
Lab Director AEFSHA HOLLIDAY

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