03D2285409 CLIA NUMBER - GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #10147

Laboratory Demographics

  • CLIA Code: 03D2285409
  • Facility Name: GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #10147
  • Facility Address: 901 WILLOW LAKE RD
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 771-0278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE LANHAM
  • NPI Number: 1255736120
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2285409
LAB Type Pharmacy
Facility Name GERMAN DOBSON CVS, LLC DBA CVS/PHARMACY #10147
Street 901 WILLOW LAKE RD
City PRESCOTT
State AZ
ZIP 86301
Phone 928 771-0278
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 KYLE LANHAM

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