33D2183414 CLIA NUMBER - YOUNG'S PHARMACY AND GENERAL STORE

Laboratory Demographics

  • CLIA Code: 33D2183414
  • Facility Name: YOUNG'S PHARMACY AND GENERAL STORE
  • Facility Address: 1636 BURDEN LAKE RD
    AVERILL PARK, NY
    ZIP 12018
  • Facility Phone: (518) 674-3663
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1447456116
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2183414
LAB Type Pharmacy
Facility Name YOUNG'S PHARMACY AND GENERAL STORE
Street 1636 BURDEN LAKE RD
City AVERILL PARK
State NY
ZIP 12018
Phone 5186743663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. CHESTER H. FOX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026