33D2294709 CLIA NUMBER - DUANE READE NO 14423

Laboratory Demographics

CLIA Number: 33D2294709

Facility Name: DUANE READE NO 14423

Facility Address:
3506 BROADWAY
ASTORIA, NY
ZIP 11106
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Facility Phone Number: 718 204-5253

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710123914

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 33D2294709
LAB Type Pharmacy
Facility Name DUANE READE NO 14423
Street 3506 BROADWAY
City ASTORIA
State NY
ZIP 11106
Phone 718 204-5253
CertificateType 4
CertificateEffectiveDate 11/29/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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