33D2214305 CLIA NUMBER - TACONIC PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2214305
  • Facility Name: TACONIC PHARMACY INC
  • Facility Address: 3659 LEE ROAD
    JEFFERSON VALLEY, NY
    ZIP 10535
  • Facility Phone: 914 245-3334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN W. PAPPAS
  • NPI Number: 1548569098
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2214305
LAB Type Pharmacy
Facility Name TACONIC PHARMACY INC
Street 3659 LEE ROAD
City JEFFERSON VALLEY
State NY
ZIP 10535
Phone 914 245-3334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. STEVEN W. PAPPAS

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