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33D2240516 CLIA NUMBER - WALGREENS NO 18980

Laboratory Demographics

CLIA Number: 33D2240516

Facility Name: WALGREENS NO 18980

Facility Address:
5 GARLAND LANE
GREENVILLE, NY
ZIP 12083
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Facility Phone Number: 518 966-8612

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003330267

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 33D2240516
LAB Type Pharmacy
Facility Name WALGREENS NO 18980
Street 5 GARLAND LANE
City GREENVILLE
State NY
ZIP 12083
Phone 518 966-8612
CertificateType 4
CertificateEffectiveDate 10/20/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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