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03D2218269 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16593

Laboratory Demographics

CLIA Number: 03D2218269

Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16593

Facility Address:
1515 N LITCHFIELD RD
GOODYEAR, AZ
ZIP 85395
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811919699

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 03D2218269
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16593
Street 1515 N LITCHFIELD RD
City GOODYEAR
State AZ
ZIP 85395
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