33D2200394 CLIA NUMBER - ADIRONDACK APOTHECARY

Laboratory Demographics

  • CLIA Code: 33D2200394
  • Facility Name: ADIRONDACK APOTHECARY
  • Facility Address: 4315 MAIN ST
    PORT HENRY, NY
    ZIP 12974
  • Facility Phone: 518 546-7244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1568573848
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2200394
LAB Type Pharmacy
Facility Name ADIRONDACK APOTHECARY
Street 4315 MAIN ST
City PORT HENRY
State NY
ZIP 12974
Phone 518 546-7244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2022
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