33D2185153 CLIA NUMBER - PINE PLAINS PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2185153
  • Facility Name: PINE PLAINS PHARMACY INC
  • Facility Address: 2965 CHURCH ST
    PINE PLAINS, NY
    ZIP 12567
  • Facility Phone: 518 398-5588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. SHANZA MAHMOOD
  • NPI Number: 1770514473
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2185153
LAB Type Pharmacy
Facility Name PINE PLAINS PHARMACY INC
Street 2965 CHURCH ST
City PINE PLAINS
State NY
ZIP 12567
Phone 518 398-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. SHANZA MAHMOOD

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