33D2184229 CLIA NUMBER - RYE BEACH PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2184229
  • Facility Name: RYE BEACH PHARMACY INC
  • Facility Address: 464 FOREST AVE
    RYE, NY
    ZIP 10580
  • Facility Phone: 914 967-0856
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ANNETTE HOBAN
  • NPI Number: 1790785459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2184229
LAB Type Pharmacy
Facility Name RYE BEACH PHARMACY INC
Street 464 FOREST AVE
City RYE
State NY
ZIP 10580
Phone 914 967-0856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ANNETTE HOBAN

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