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

Laboratory Demographics

  • CLIA Code: 45D2285256
  • Facility Name: CVS PHARMACY, INC. DBA CVS/PHARMACY #10486
  • Facility Address: 301 CHRIS KELLEY BLVD
    HUTTO, TX
    ZIP 78634
  • Facility Phone: 512 846-1003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGUYEN HANNAH HAI-YEN
  • NPI Number: 1487054417
  • Taxonomy: 333600000X - Pharmacy

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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
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 NGUYEN HANNAH HAI-YEN

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