33D2184420 CLIA NUMBER - IVYLEA PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2184420
  • Facility Name: IVYLEA PHARMACY
  • Facility Address: 2446 ELMWOOD AVE
    KENMORE, NY
    ZIP 14217
  • Facility Phone: 716 873-1444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1144324104
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2184420
LAB Type Pharmacy
Facility Name IVYLEA PHARMACY
Street 2446 ELMWOOD AVE
City KENMORE
State NY
ZIP 14217
Phone 716 873-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. CHESTER H. FOX

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