33D2191315 CLIA NUMBER - SUPER HEALTH PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 33D2191315
  • Facility Name: SUPER HEALTH PHARMACY LLC
  • Facility Address: 6390 AMBOY RD
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: 718 967-4600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1760836431
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2191315
LAB Type Pharmacy
Facility Name SUPER HEALTH PHARMACY LLC
Street 6390 AMBOY RD
City STATEN ISLAND
State NY
ZIP 10309
Phone 718 967-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2020
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