33D2187173 CLIA NUMBER - CONDO PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2187173
  • Facility Name: CONDO PHARMACY
  • Facility Address: 28 MONTCALM AVE
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 563-3400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1811985161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2187173
LAB Type Pharmacy
Facility Name CONDO PHARMACY
Street 28 MONTCALM AVE
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 563-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2020
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