47D2230759 CLIA NUMBER - WALGREENS #17625

Laboratory Demographics

  • CLIA Code: 47D2230759
  • Facility Name: WALGREENS #17625
  • Facility Address: 412 BROAD ST
    LYNDONVILLE, VT
    ZIP 05851
  • Facility Phone: 802 626-4366
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN E. JOY
  • NPI Number: 1942723531
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2230759
LAB Type Pharmacy
Facility Name WALGREENS #17625
Street 412 BROAD ST
City LYNDONVILLE
State VT
ZIP 05851
Phone 802 626-4366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director JOHN E. JOY

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