03D2285414 CLIA NUMBER - ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #08983

Laboratory Demographics

  • CLIA Code: 03D2285414
  • Facility Name: ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #08983
  • Facility Address: 5125 W OLIVE AVE
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 623 931-0882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABEBE GONET
  • NPI Number: 1285930164
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2285414
LAB Type Pharmacy
Facility Name ARIZONA CVS STORES, LLC DBA CVS/PHARMACY #08983
Street 5125 W OLIVE AVE
City GLENDALE
State AZ
ZIP 85302
Phone 623 931-0882
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 ABEBE GONET

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