33D2226503 CLIA NUMBER - WALGREENS #03438

Laboratory Demographics

CLIA Number: 33D2226503

Facility Name: WALGREENS #03438

Facility Address:
1202 PINE AVE
NIAGARA FALLS, NY
ZIP 14301
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Facility Phone Number: 716 285-0285

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386757789

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	33D2226503
LAB Type	Pharmacy
Facility Name	WALGREENS #03438
Street	1202 PINE AVE
City	NIAGARA FALLS
State	NY
ZIP	14301
Phone	716 285-0285
CertificateType	4
CertificateEffectiveDate	6/1/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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