03D2285407 CLIA NUMBER - ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09230

Laboratory Demographics

  • CLIA Code: 03D2285407
  • Facility Name: ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09230
  • Facility Address: 19602 RH JOHNSON BLVD
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 214-1015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA RATLIFF
  • NPI Number: 1295776110
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2285407
LAB Type Pharmacy
Facility Name ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #09230
Street 19602 RH JOHNSON BLVD
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 214-1015
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 RITA RATLIFF

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