03D2226795 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05778

Laboratory Demographics

  • CLIA Code: 03D2226795
  • Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05778
  • Facility Address: 4040 N 19TH AVE
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AKACHUKWU EKEOMA
  • NPI Number: 1003910993
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2226795
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #05778
Street 4040 N 19TH AVE
City PHOENIX
State AZ
ZIP 85015
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2023
Certificate Expiration Date 6/2/2025
Facility Type Pharmacy
Lab Director AKACHUKWU EKEOMA

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This page was last updated on: 3/20/2025