47D2231085 CLIA NUMBER - WALGREENS #18325

Laboratory Demographics

  • CLIA Code: 47D2231085
  • Facility Name: WALGREENS #18325
  • Facility Address: 30 SHELBURNE SHOPPING PARK
    SHELBURNE, VT
    ZIP 05482
  • Facility Phone: 802 985-2610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSANNA K. SPERRY
  • NPI Number: 1437672037
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2231085
LAB Type Pharmacy
Facility Name WALGREENS #18325
Street 30 SHELBURNE SHOPPING PARK
City SHELBURNE
State VT
ZIP 05482
Phone 802 985-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director SUSANNA K. SPERRY

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