47D2255414 CLIA NUMBER - SHAWS PHARMACY #0616

Laboratory Demographics

  • CLIA Code: 47D2255414
  • Facility Name: SHAWS PHARMACY #0616
  • Facility Address: 160 PAINE TPKE N
    BERLIN, VT
    ZIP 05602
  • Facility Phone: 802 233-8599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEANA BOUCHARD
  • NPI Number: 1598705782
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2255414
LAB Type Pharmacy
Facility Name SHAWS PHARMACY #0616
Street 160 PAINE TPKE N
City BERLIN
State VT
ZIP 05602
Phone 802 233-8599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director SEANA BOUCHARD

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