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03D2285397 CLIA NUMBER - ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09256

Laboratory Demographics

CLIA Number: 03D2285397

Facility Name: ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09256

Facility Address:
3560 W PEORIA AVE
PHOENIX, AZ
ZIP 85029
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Facility Phone Number: 602 938-3400

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700820057

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 03D2285397
LAB Type Pharmacy
Facility Name ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09256
Street 3560 W PEORIA AVE
City PHOENIX
State AZ
ZIP 85029
Phone 602 938-3400
CertificateType 4
CertificateEffectiveDate 7/11/2023
CertificateExpirationDate 7/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024