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33D2294501 CLIA NUMBER - WALGREENS NO 01616

Laboratory Demographics

CLIA Number: 33D2294501

Facility Name: WALGREENS NO 01616

Facility Address:
8277 BROADWAY
ELMHURST, NY
ZIP 11373
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Facility Phone Number: 718 672-7781

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1649287699

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 33D2294501
LAB Type Pharmacy
Facility Name WALGREENS NO 01616
Street 8277 BROADWAY
City ELMHURST
State NY
ZIP 11373
Phone 718 672-7781
CertificateType 4
CertificateEffectiveDate 11/28/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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