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33D2295641 CLIA NUMBER - RITE AID 10733

Laboratory Demographics

CLIA Number: 33D2295641

Facility Name: RITE AID 10733

Facility Address:
5335 WEST GENESEE ST STE 20
CAMILLUS, NY
ZIP 13031
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Facility Phone Number: 315 487-0435

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619065034

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 33D2295641
LAB Type Pharmacy
Facility Name RITE AID 10733
Street 5335 WEST GENESEE ST STE 20
City CAMILLUS
State NY
ZIP 13031
Phone 315 487-0435
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