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33D2243390 CLIA NUMBER - WALGREENS NO 09798

Laboratory Demographics

CLIA Number: 33D2243390

Facility Name: WALGREENS NO 09798

Facility Address:
4855 COMMERCIAL DR
NEW HARTFORD, NY
ZIP 13413
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Facility Phone Number: 315 736-8774

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1053484840

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 33D2243390
LAB Type Pharmacy
Facility Name WALGREENS NO 09798
Street 4855 COMMERCIAL DR
City NEW HARTFORD
State NY
ZIP 13413
Phone 315 736-8774
CertificateType 4
CertificateEffectiveDate 11/18/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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