03D2285396 CLIA NUMBER - THOMAS PHOENIX CVS, LLC DBA CVS/PHARMACY #03625

Laboratory Demographics

  • CLIA Code: 03D2285396
  • Facility Name: THOMAS PHOENIX CVS, LLC DBA CVS/PHARMACY #03625
  • Facility Address: 8245 W THOMAS RD
    PHOENIX, AZ
    ZIP 85033
  • Facility Phone: 623 849-1940
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LATECIA COLEMAN
  • NPI Number: 1841394731
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2285396
LAB Type Pharmacy
Facility Name THOMAS PHOENIX CVS, LLC DBA CVS/PHARMACY #03625
Street 8245 W THOMAS RD
City PHOENIX
State AZ
ZIP 85033
Phone 623 849-1940
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 LATECIA COLEMAN

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