33D2191601 CLIA NUMBER - GRAND CARE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2191601
  • Facility Name: GRAND CARE PHARMACY INC
  • Facility Address: 66-56 GRAND AVE
    MASPETH, NY
    ZIP 11378
  • Facility Phone: 718 446-6656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1548744030
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2191601
LAB Type Pharmacy
Facility Name GRAND CARE PHARMACY INC
Street 66-56 GRAND AVE
City MASPETH
State NY
ZIP 11378
Phone 718 446-6656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2020
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