45D2285256 CLIA NUMBER - CVS PHARMACY, INC. DBA CVS/PHARMACY #10486

Laboratory Demographics

CLIA Number: 45D2285256

Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #10486

Facility Address:
301 CHRIS KELLEY BLVD
HUTTO, TX
ZIP 78634
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Facility Phone Number: 512 846-1003

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487054417

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2285256
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC. DBA CVS/PHARMACY #10486
Street	301 CHRIS KELLEY BLVD
City	HUTTO
State	TX
ZIP	78634
Phone	512 846-1003
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024