45D2284691 CLIA NUMBER - CVS PHARMAC, INC DBA CVS/PHARMACY #11278

Laboratory Demographics

  • CLIA Code: 45D2284691
  • Facility Name: CVS PHARMAC, INC DBA CVS/PHARMACY #11278
  • Facility Address: 1802 W MOUNT HOUSTON ROAD
    HOUSTON, TX
    ZIP 77038
  • Facility Phone: 281 925-2740
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THIEN SONG DIEP
  • NPI Number: 1376198432
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2284691
LAB Type Pharmacy
Facility Name CVS PHARMAC, INC DBA CVS/PHARMACY #11278
Street 1802 W MOUNT HOUSTON ROAD
City HOUSTON
State TX
ZIP 77038
Phone 281 925-2740
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 THIEN SONG DIEP

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