03D2220088 CLIA NUMBER - ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09340

Laboratory Demographics

  • CLIA Code: 03D2220088
  • Facility Name: ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09340
  • Facility Address: 3610 W ANTHEM WAY
    PHOENIX, AZ
    ZIP 85086
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TADEUSZ JOHNSON-BOROWSKI
  • NPI Number: 1912948969
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2220088
LAB Type Pharmacy
Facility Name ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09340
Street 3610 W ANTHEM WAY
City PHOENIX
State AZ
ZIP 85086
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director TADEUSZ JOHNSON-BOROWSKI

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