22D2182571 CLIA NUMBER - BOUVIER PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 22D2182571
  • Facility Name: BOUVIER PHARMACY, INC
  • Facility Address: 515 LINCOLN ST
    MARLBORO, MA
    ZIP 01752
  • Facility Phone: 508 449-0630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. BRIAN BOUVIER
  • NPI Number: 1518951359
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2182571
LAB Type Pharmacy
Facility Name BOUVIER PHARMACY, INC
Street 515 LINCOLN ST
City MARLBORO
State MA
ZIP 01752
Phone 508 449-0630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Pharmacy
Lab Director MR. BRIAN BOUVIER

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