33D2294286 CLIA NUMBER - WALGREENS NO 09667

Laboratory Demographics

CLIA Number: 33D2294286

Facility Name: WALGREENS NO 09667

Facility Address:
102 N MAIN ST
SAYVILLE, NY
ZIP 11782
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Facility Phone Number: 631 218-7982

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306033204

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	33D2294286
LAB Type	Pharmacy
Facility Name	WALGREENS NO 09667
Street	102 N MAIN ST
City	SAYVILLE
State	NY
ZIP	11782
Phone	631 218-7982
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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