47D2235447 CLIA NUMBER - KINNEY DRUGS #107

Laboratory Demographics

  • CLIA Code: 47D2235447
  • Facility Name: KINNEY DRUGS #107
  • Facility Address: 47 EXECUTIVE DR
    SHELBURNE, VT
    ZIP 05482
  • Facility Phone: 802 985-0008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WARREN SILVERMAN
  • NPI Number: 1104183524
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2235447
LAB Type Pharmacy
Facility Name KINNEY DRUGS #107
Street 47 EXECUTIVE DR
City SHELBURNE
State VT
ZIP 05482
Phone 802 985-0008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director WARREN SILVERMAN

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