47D1043065 CLIA NUMBER - SHAWS PHARMACY #0615

Laboratory Demographics

  • CLIA Code: 47D1043065
  • Facility Name: SHAWS PHARMACY #0615
  • Facility Address: 66 MOUNTAIN VIEW DR
    COLCHESTER, VT
    ZIP 05446
  • Facility Phone: 802 655-2536
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEANA BOUCHARD
  • NPI Number: 1306892815
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D1043065
LAB Type Pharmacy
Facility Name SHAWS PHARMACY #0615
Street 66 MOUNTAIN VIEW DR
City COLCHESTER
State VT
ZIP 05446
Phone 802 655-2536
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