03D2283612 CLIA NUMBER - GERMAN DOBSON CVS LLC CVS PHARMACY #05779

Laboratory Demographics

  • CLIA Code: 03D2283612
  • Facility Name: GERMAN DOBSON CVS LLC CVS PHARMACY #05779
  • Facility Address: 360 N VAL VISTA DR
    MESA, AZ
    ZIP 85213
  • Facility Phone: 480 807-0251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN BINT
  • NPI Number: 1386748275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2283612
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS LLC CVS PHARMACY #05779
Street 360 N VAL VISTA DR
City MESA
State AZ
ZIP 85213
Phone 480 807-0251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director BRIAN BINT

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