33D2311562 CLIA NUMBER - VVSB PHARMACY INC DBA ROBERT JACOBSON PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2311562
  • Facility Name: VVSB PHARMACY INC DBA ROBERT JACOBSON PHARMACY
  • Facility Address: 231 ASHBURTON AVE
    YONKERS, NY
    ZIP 10701
  • Facility Phone: 914 965-3049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1255680104
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2311562
LAB Type Pharmacy
Facility Name VVSB PHARMACY INC DBA ROBERT JACOBSON PHARMACY
Street 231 ASHBURTON AVE
City YONKERS
State NY
ZIP 10701
Phone 914 965-3049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. CHESTER H. FOX

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This page was last updated on: 9/29/2025