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33D2294864 CLIA NUMBER - RITE AID NO 3879

Laboratory Demographics

CLIA Number: 33D2294864

Facility Name: RITE AID NO 3879

Facility Address:
6900 4TH AVENUE
BROOKLYN, NY
ZIP 11209
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Facility Phone Number: 718 748-8184

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1740399278

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 33D2294864
LAB Type Pharmacy
Facility Name RITE AID NO 3879
Street 6900 4TH AVENUE
City BROOKLYN
State NY
ZIP 11209
Phone 718 748-8184
CertificateType 4
CertificateEffectiveDate 12/1/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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