22D2212257 CLIA NUMBER - CENTURY PHARMACY

Laboratory Demographics

  • CLIA Code: 22D2212257
  • Facility Name: CENTURY PHARMACY
  • Facility Address: 937 GORHAM ST
    LOWELL, MA
    ZIP 01852
  • Facility Phone: 978 455-6554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LILIYA BESPALKO
  • NPI Number: 1710522610
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2212257
LAB Type Pharmacy
Facility Name CENTURY PHARMACY
Street 937 GORHAM ST
City LOWELL
State MA
ZIP 01852
Phone 978 455-6554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director MS. LILIYA BESPALKO

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