33D2216592 CLIA NUMBER - AVA KIRELLOUS LTD DBA WELLNESS PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2216592
  • Facility Name: AVA KIRELLOUS LTD DBA WELLNESS PHARMACY
  • Facility Address: 144 W 72ND ST
    NEW YORK, NY
    ZIP 10023
  • Facility Phone: 212 439-4718
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1407317753
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2216592
LAB Type Pharmacy
Facility Name AVA KIRELLOUS LTD DBA WELLNESS PHARMACY
Street 144 W 72ND ST
City NEW YORK
State NY
ZIP 10023
Phone 212 439-4718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2021
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