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33D2222469 CLIA NUMBER - WALGREENS #09461

Laboratory Demographics

CLIA Number: 33D2222469

Facility Name: WALGREENS #09461

Facility Address:
2215 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720
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Facility Phone Number: 631 981-2198

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1548451529

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 33D2222469
LAB Type Pharmacy
Facility Name WALGREENS #09461
Street 2215 MIDDLE COUNTRY RD
City CENTEREACH
State NY
ZIP 11720
Phone 631 981-2198
CertificateType 4
CertificateEffectiveDate 4/29/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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