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33D2215427 CLIA NUMBER - WALGREENS #10864

Laboratory Demographics

CLIA Number: 33D2215427

Facility Name: WALGREENS #10864

Facility Address:
402 N MAIN ST
ELMIRA, NY
ZIP 14901
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Facility Phone Number: 607 271-9480

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1740461284

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 33D2215427
LAB Type Pharmacy
Facility Name WALGREENS #10864
Street 402 N MAIN ST
City ELMIRA
State NY
ZIP 14901
Phone 607 271-9480
CertificateType 4
CertificateEffectiveDate 3/3/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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