33D2240137 CLIA NUMBER - GOLUB CORPORATION

Laboratory Demographics

CLIA Number: 33D2240137

Facility Name: GOLUB CORPORATION

Facility Address:
15 PARK AVE
CLIFTON PARK, NY
ZIP 12065
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Facility Phone Number: 518 373-8378

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316950744

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	33D2240137
LAB Type	Pharmacy
Facility Name	GOLUB CORPORATION
Street	15 PARK AVE
City	CLIFTON PARK
State	NY
ZIP	12065
Phone	518 373-8378
CertificateType	4
CertificateEffectiveDate	10/18/2021
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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