47D2255190 CLIA NUMBER - SHAWS PHARMACY #0649

Laboratory Demographics

  • CLIA Code: 47D2255190
  • Facility Name: SHAWS PHARMACY #0649
  • Facility Address: 820 WATERBURY STOWE RD
    WATERBURY, VT
    ZIP 05676
  • Facility Phone: 802 241-4115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN PAVELOCK
  • NPI Number: 1952357329
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2255190
LAB Type Pharmacy
Facility Name SHAWS PHARMACY #0649
Street 820 WATERBURY STOWE RD
City WATERBURY
State VT
ZIP 05676
Phone 802 241-4115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Pharmacy
Lab Director KRISTEN PAVELOCK

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