33D2213499 CLIA NUMBER - DUANE READE NO 16555

Laboratory Demographics

CLIA Number: 33D2213499

Facility Name: DUANE READE NO 16555

Facility Address:
530 5TH AVE
NEW YORK, NY
ZIP 10036
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Facility Phone Number: 212 687-8641

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508881061

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	33D2213499
LAB Type	Pharmacy
Facility Name	DUANE READE NO 16555
Street	530 5TH AVE
City	NEW YORK
State	NY
ZIP	10036
Phone	212 687-8641
CertificateType	4
CertificateEffectiveDate	2/12/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024