03D2220906 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05029

Laboratory Demographics

  • CLIA Code: 03D2220906
  • Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05029
  • Facility Address: 9230 E BROADWAY RD
    MESA, AZ
    ZIP 85208
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLE URIBE
  • NPI Number: 1972607869
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2220906
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05029
Street 9230 E BROADWAY RD
City MESA
State AZ
ZIP 85208
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 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director NICHOLE URIBE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025