03D2246626 CLIA NUMBER - DEEFLAT PHARMACY

Laboratory Demographics

  • CLIA Code: 03D2246626
  • Facility Name: DEEFLAT PHARMACY
  • Facility Address: 2580 HIGHWAY 95 STE 106
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 299-5070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUAN Q. DINH
  • NPI Number: 1396216719
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2246626
LAB Type Pharmacy
Facility Name DEEFLAT PHARMACY
Street 2580 HIGHWAY 95 STE 106
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 299-5070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Pharmacy
Lab Director TUAN Q. DINH

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