33D2186040 CLIA NUMBER - KEESEVILLE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2186040
  • Facility Name: KEESEVILLE PHARMACY INC
  • Facility Address: 1730 FRONT ST
    KEESEVILLE, NY
    ZIP 12944
  • Facility Phone: (518) 834-6090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1245318658
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2186040
LAB Type Pharmacy
Facility Name KEESEVILLE PHARMACY INC
Street 1730 FRONT ST
City KEESEVILLE
State NY
ZIP 12944
Phone 5188346090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2020
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: 5/18/2026