30D2231802 CLIA NUMBER - WALGREENS #12352

Laboratory Demographics

CLIA Number: 30D2231802

Facility Name: WALGREENS #12352

Facility Address:
151 BRIDGE ST
PELHAM, NH
ZIP 03076
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Facility Phone Number: 603 635-9153

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740490143

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	30D2231802
LAB Type	Pharmacy
Facility Name	WALGREENS #12352
Street	151 BRIDGE ST
City	PELHAM
State	NH
ZIP	03076
Phone	603 635-9153
CertificateType	4
CertificateEffectiveDate	8/6/2023
CertificateExpirationDate	8/5/2025
FacilityType	Waiver

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