47D2230656 CLIA NUMBER - WALGREENS #17379

Laboratory Demographics

  • CLIA Code: 47D2230656
  • Facility Name: WALGREENS #17379
  • Facility Address: 107 E MAIN ST
    WILMINGTON, VT
    ZIP 05363
  • Facility Phone: 802 464-7575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELE S. HARRIS
  • NPI Number: 1376067918
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2230656
LAB Type Pharmacy
Facility Name WALGREENS #17379
Street 107 E MAIN ST
City WILMINGTON
State VT
ZIP 05363
Phone 802 464-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director MICHELE S. HARRIS

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