CLIA lab
CLIA 45D2219929: CVS Pharmacy, Inc DBA Cvs/Pharmacy #06704
Lake Jackson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2219929 belongs to CVS Pharmacy, Inc DBA Cvs/Pharmacy #06704 in Lake Jackson, TX.
Certificate of Waiver, effective April 8, 2025, expires April 7, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 8, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2219929
- Lab name
- CVS Pharmacy, Inc DBA Cvs/Pharmacy #06704
- Address
- 117 Oyster Creek Dr, Lake Jackson, TX 77566
- Phone
- (401) 770-6431
- Fax
- (401) 216-0381
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Altus Lake Jackson, LPCertificate of Compliance, Other45D2069850
- Ark HealthCertificate of Waiver, Physician office45D2272537
- Atkins Health, PLLCCertificate of Waiver, Physician office45D2321867
- Baylor ST Luke's Medical Group Brazosport UrologyCertificate of Waiver, Physician office45D2140145
- Baylor ST Luke's Medical Group Lake Jackson FMCCertificate of Waiver, Other45D2026404
- Baylor ST Luke's Medical Group Lake Road FMCCertificate of Waiver, Other45D2091279
- Bottenfield Pediatric AssociatesCertificate of Waiver, Physician office45D2173530
- Bottenfield Pediatric AssociatesCertificate of Waiver, Physician office45D2173531
- Brazoria County Dialysis, LLPCertificate of Waiver, End stage renal disease dialysis facility45D2016988
Related
Questions
What is the CLIA number for CVS Pharmacy, Inc DBA Cvs/Pharmacy #06704 in Lake Jackson?
45D2219929, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CVS Pharmacy, Inc DBA Cvs/Pharmacy #06704 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2219929 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.