33D2240125 CLIA NUMBER - GOLUB CORPORATION

Laboratory Demographics

  • CLIA Code: 33D2240125
  • Facility Name: GOLUB CORPORATION
  • Facility Address: 354 BROADWAY
    FORT EDWARD, NY
    ZIP 12828
  • Facility Phone: 518 832-6238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHONDA A. KAISER
  • NPI Number: 1841740610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240125
LAB Type Pharmacy
Facility Name GOLUB CORPORATION
Street 354 BROADWAY
City FORT EDWARD
State NY
ZIP 12828
Phone 518 832-6238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director RHONDA A. KAISER

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This page was last updated on: 9/29/2025