47D1042894 CLIA NUMBER - SHAWS PHARMACY #2518

Laboratory Demographics

  • CLIA Code: 47D1042894
  • Facility Name: SHAWS PHARMACY #2518
  • Facility Address: 71 BOXWOOD ST
    WILLISTON, VT
    ZIP 05495
  • Facility Phone: 802 878-9056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEANA BOUCHARD
  • NPI Number: 1215983721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D1042894
LAB Type Pharmacy
Facility Name SHAWS PHARMACY #2518
Street 71 BOXWOOD ST
City WILLISTON
State VT
ZIP 05495
Phone 802 878-9056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director SEANA BOUCHARD

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