47D2230760 CLIA NUMBER - WALGREENS #17471

Laboratory Demographics

  • CLIA Code: 47D2230760
  • Facility Name: WALGREENS #17471
  • Facility Address: 9 SUSIE WILSON RD
    ESSEX JUNCTION, VT
    ZIP 05452
  • Facility Phone: 802 872-1800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. COUTRAYER
  • NPI Number: 1518480169
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2230760
LAB Type Pharmacy
Facility Name WALGREENS #17471
Street 9 SUSIE WILSON RD
City ESSEX JUNCTION
State VT
ZIP 05452
Phone 802 872-1800
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 ASHLEY M. COUTRAYER

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