33D2208392 CLIA NUMBER - UTICA EXPRESS PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2208392
  • Facility Name: UTICA EXPRESS PHARMACY INC
  • Facility Address: 190 UTICA AVE
    BROOKLYN, NY
    ZIP 11213
  • Facility Phone: 718 484-1704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1134738115
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2208392
LAB Type Pharmacy
Facility Name UTICA EXPRESS PHARMACY INC
Street 190 UTICA AVE
City BROOKLYN
State NY
ZIP 11213
Phone 718 484-1704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2021
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