22D1005116 CLIA NUMBER - STOP AND SHOP

Laboratory Demographics

CLIA Number: 22D1005116

Facility Name: STOP AND SHOP

Facility Address:
1385 HANCOCK STREET
QUINCY, MA
ZIP 02169
Get Directions

Facility Phone Number: 717 240-1543

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1083646954

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	22D1005116
LAB Type	Health Fair
Facility Name	STOP AND SHOP
Street	1385 HANCOCK STREET
City	QUINCY
State	MA
ZIP	02169
Phone	717 240-1543
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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