33D2160703 CLIA NUMBER - CATHOLIC CHARITIES MONSIGNOR CARR INSTITUTE

Laboratory Demographics

CLIA Number: 33D2160703

Facility Name: CATHOLIC CHARITIES MONSIGNOR CARR INSTITUTE

Facility Address:
76 W HUMBOLDT PKWY
BUFFALO, NY
ZIP 14214
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Facility Phone Number: 716 835-9745

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1407386873

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	33D2160703
LAB Type	Community Clinic
Facility Name	CATHOLIC CHARITIES MONSIGNOR CARR INSTITUTE
Street	76 W HUMBOLDT PKWY
City	BUFFALO
State	NY
ZIP	14214
Phone	716 835-9745
CertificateType	4
CertificateEffectiveDate	1/16/2019
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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