47D2014382 CLIA NUMBER - WALGREENS #01756

Laboratory Demographics

  • CLIA Code: 47D2014382
  • Facility Name: WALGREENS #01756
  • Facility Address: 10 WOODSTOCK AVE
    RUTLAND, VT
    ZIP 05701
  • Facility Phone: 802 773-6980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS PLATTNER
  • NPI Number: 1467975078
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2014382
LAB Type Pharmacy
Facility Name WALGREENS #01756
Street 10 WOODSTOCK AVE
City RUTLAND
State VT
ZIP 05701
Phone 802 773-6980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director ALEXIS PLATTNER

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