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