33D2254605 CLIA NUMBER - PAUL'S PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2254605
  • Facility Name: PAUL'S PHARMACY
  • Facility Address: 222 OAKRIDGE COMMON
    SOUTH SALEM, NY
    ZIP 10590
  • Facility Phone: 914 533-5679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BARBARA A. POLOWCZYK
  • NPI Number: 1669577433
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2254605
LAB Type Pharmacy
Facility Name PAUL'S PHARMACY
Street 222 OAKRIDGE COMMON
City SOUTH SALEM
State NY
ZIP 10590
Phone 914 533-5679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MS. BARBARA A. POLOWCZYK

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