33D2296188 CLIA NUMBER - WALGREENS NO 19715

Laboratory Demographics

CLIA Number: 33D2296188

Facility Name: WALGREENS NO 19715

Facility Address:
58 GENESEE STREET
GREENE, NY
ZIP 13778
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Facility Phone Number: 607 656-4585

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699290031

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	33D2296188
LAB Type	Pharmacy
Facility Name	WALGREENS NO 19715
Street	58 GENESEE STREET
City	GREENE
State	NY
ZIP	13778
Phone	607 656-4585
CertificateType	4
CertificateEffectiveDate	12/22/2023
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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