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33D2293872 CLIA NUMBER - DUANE READE 14438

Laboratory Demographics

CLIA Number: 33D2293872

Facility Name: DUANE READE 14438

Facility Address:
13602 ROOSEVELT AVE
FLUSHING, NY
ZIP 11354
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Facility Phone Number: 718 886-3212

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1265457733

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 33D2293872
LAB Type Pharmacy
Facility Name DUANE READE 14438
Street 13602 ROOSEVELT AVE
City FLUSHING
State NY
ZIP 11354
Phone 718 886-3212
CertificateType 4
CertificateEffectiveDate 11/16/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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