33D2276559 CLIA NUMBER - GOLUB CORPORATION

Laboratory Demographics

CLIA Number: 33D2276559

Facility Name: GOLUB CORPORATION

Facility Address:
501 COLUMBIA TPKE
RENSSELAER, NY
ZIP 12144
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Facility Phone Number: 518 479-4388

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083627418

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	33D2276559
LAB Type	Pharmacy
Facility Name	GOLUB CORPORATION
Street	501 COLUMBIA TPKE
City	RENSSELAER
State	NY
ZIP	12144
Phone	518 479-4388
CertificateType	4
CertificateEffectiveDate	2/10/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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