03D2218253 CLIA NUMBER - CVS GILBERT 3272, LLC DBA CVS/PHARMACY #03272

Laboratory Demographics

CLIA Number: 03D2218253

Facility Name: CVS GILBERT 3272, LLC DBA CVS/PHARMACY #03272

Facility Address:
2371 E GUADALUPE RD
GILBERT, AZ
ZIP 85234
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376648105

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 03D2218253
LAB Type Pharmacy
Facility Name CVS GILBERT 3272, LLC DBA CVS/PHARMACY #03272
Street 2371 E GUADALUPE RD
City GILBERT
State AZ
ZIP 85234
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 3/26/2023
CertificateExpirationDate 3/25/2025
FacilityType Waiver

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