45D2285252 CLIA NUMBER - CVS PHARMACY, INC. DBA CVS/PHARMACY #10139

Laboratory Demographics

  • CLIA Code: 45D2285252
  • Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #10139
  • Facility Address: 7300 N. FM 620
    AUSTIN, TX
    ZIP 78726
  • Facility Phone: 512 249-9448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUN BONG CHON
  • NPI Number: 1205224490
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2285252
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC. DBA CVS/PHARMACY #10139
Street 7300 N. FM 620
City AUSTIN
State TX
ZIP 78726
Phone 512 249-9448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Pharmacy
Lab Director MUN BONG CHON

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