33D2208520 CLIA NUMBER - EMERALD PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2208520
  • Facility Name: EMERALD PHARMACY
  • Facility Address: 4295 KATONAH AVE
    BRONX, NY
    ZIP 10470
  • Facility Phone: 718 644-0862
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ARSENIO GO
  • NPI Number: 1770678666
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2208520
LAB Type Pharmacy
Facility Name EMERALD PHARMACY
Street 4295 KATONAH AVE
City BRONX
State NY
ZIP 10470
Phone 718 644-0862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ARSENIO GO

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This page was last updated on: 9/29/2025