03D2218846 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16983

Laboratory Demographics

CLIA Number: 03D2218846

Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16983

Facility Address:
9615 E OLD SPANISH TRL
TUCSON, AZ
ZIP 85748
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245252022

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	03D2218846
LAB Type	Pharmacy
Facility Name	GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #16983
Street	9615 E OLD SPANISH TRL
City	TUCSON
State	AZ
ZIP	85748
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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