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03D2285398 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #01719

Laboratory Demographics

CLIA Number: 03D2285398

Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #01719

Facility Address:
7587 S POWER RD
QUEEN CREEK, AZ
ZIP 85142
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Facility Phone Number: 480 988-3182

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1336319581

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 03D2285398
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #01719
Street 7587 S POWER RD
City QUEEN CREEK
State AZ
ZIP 85142
Phone 480 988-3182
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