45D2284710 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #05970

Laboratory Demographics

  • CLIA Code: 45D2284710
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #05970
  • Facility Address: 930 SOUTHMORE AVE
    PASADENA, TX
    ZIP 77502
  • Facility Phone: 713 740-9120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIK ZELAYA
  • NPI Number: 1609970433
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2284710
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #05970
Street 930 SOUTHMORE AVE
City PASADENA
State TX
ZIP 77502
Phone 713 740-9120
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 ERIK ZELAYA

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