33D2237892 CLIA NUMBER - WALGREENS NO 10442

Laboratory Demographics

CLIA Number: 33D2237892

Facility Name: WALGREENS NO 10442

Facility Address:
2739 DELAWARE AVE
KENMORE, NY
ZIP 14217
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Facility Phone Number: 716 871-1490

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861601627

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 33D2237892
LAB Type Pharmacy
Facility Name WALGREENS NO 10442
Street 2739 DELAWARE AVE
City KENMORE
State NY
ZIP 14217
Phone 716 871-1490
CertificateType 4
CertificateEffectiveDate 9/29/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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