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33D2294183 CLIA NUMBER - WALGREENS NO 03290

Laboratory Demographics

CLIA Number: 33D2294183

Facility Name: WALGREENS NO 03290

Facility Address:
1556 HERTEL AVE
BUFFALO, NY
ZIP 14216
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Facility Phone Number: 716 834-2820

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1467467514

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 33D2294183
LAB Type Pharmacy
Facility Name WALGREENS NO 03290
Street 1556 HERTEL AVE
City BUFFALO
State NY
ZIP 14216
Phone 716 834-2820
CertificateType 4
CertificateEffectiveDate 11/20/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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