33D2295617 CLIA NUMBER - RITE AID 10551

Laboratory Demographics

CLIA Number: 33D2295617

Facility Name: RITE AID 10551

Facility Address:
701 ROUTE 211 EAST
MIDDLETOWN, NY
ZIP 10941
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Facility Phone Number: 845 692-2422

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952400202

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	33D2295617
LAB Type	Pharmacy
Facility Name	RITE AID 10551
Street	701 ROUTE 211 EAST
City	MIDDLETOWN
State	NY
ZIP	10941
Phone	845 692-2422
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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