03D2285394 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #03436

Laboratory Demographics

  • CLIA Code: 03D2285394
  • Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #03436
  • Facility Address: 2809 S SOSSAMAN RD
    MESA, AZ
    ZIP 85212
  • Facility Phone: 480 354-4992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DHIRAJ NUKALA
  • NPI Number: 1396849287
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2285394
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #03436
Street 2809 S SOSSAMAN RD
City MESA
State AZ
ZIP 85212
Phone 480 354-4992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Pharmacy
Lab Director DHIRAJ NUKALA

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