33D2271801 CLIA NUMBER - KASOS RX CORP

Laboratory Demographics

CLIA Number: 33D2271801

Facility Name: KASOS RX CORP

Facility Address:
430 MAMARONECK AVE
MAMARONECK, NY
ZIP 10543
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Facility Phone Number: 914 600-8321

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154076081

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	33D2271801
LAB Type	Pharmacy
Facility Name	KASOS RX CORP
Street	430 MAMARONECK AVE
City	MAMARONECK
State	NY
ZIP	10543
Phone	914 600-8321
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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