33D2294307 CLIA NUMBER - DUANE READE NO 14319

Laboratory Demographics

CLIA Number: 33D2294307

Facility Name: DUANE READE NO 14319

Facility Address:
180 W 20TH ST
NEW YORK, NY
ZIP 10011
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Facility Phone Number: 212 243-0129

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871519983

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 33D2294307
LAB Type Pharmacy
Facility Name DUANE READE NO 14319
Street 180 W 20TH ST
City NEW YORK
State NY
ZIP 10011
Phone 212 243-0129
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