33D2185150 CLIA NUMBER - COLOMBO'S PHARMACY

Laboratory Demographics

CLIA Number: 33D2185150

Facility Name: COLOMBO'S PHARMACY

Facility Address:
75-51 METROPOLITAN AVE
MIDDLE VILLAGE, NY
ZIP 11379
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Facility Phone Number: 718 418-9700

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881609402

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	33D2185150
LAB Type	Pharmacy
Facility Name	COLOMBO'S PHARMACY
Street	75-51 METROPOLITAN AVE
City	MIDDLE VILLAGE
State	NY
ZIP	11379
Phone	718 418-9700
CertificateType	4
CertificateEffectiveDate	5/29/2020
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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