33D2290722 CLIA NUMBER - NORTHPORT FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 33D2290722

Facility Name: NORTHPORT FIRE DEPARTMENT

Facility Address:
204 MAIN ST
NORTHPORT, NY
ZIP 11768
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Facility Phone Number: 631 261-7504

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1275697005

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	33D2290722
LAB Type	Ambulance
Facility Name	NORTHPORT FIRE DEPARTMENT
Street	204 MAIN ST
City	NORTHPORT
State	NY
ZIP	11768
Phone	631 261-7504
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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