33D2186230 CLIA NUMBER - KINNEY DRUGS NO 25

Laboratory Demographics

  • CLIA Code: 33D2186230
  • Facility Name: KINNEY DRUGS NO 25
  • Facility Address: 12 PARK PLACE
    SAINT JOHNSVILLE, NY
    ZIP 13452
  • Facility Phone: 518 568-2400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. WARREN SILVERMAN
  • NPI Number: 1154438331
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2186230
LAB Type Pharmacy
Facility Name KINNEY DRUGS NO 25
Street 12 PARK PLACE
City SAINT JOHNSVILLE
State NY
ZIP 13452
Phone 518 568-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. WARREN SILVERMAN

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