47D2255417 CLIA NUMBER - SHAWS PHARMACY #0117

Laboratory Demographics

  • CLIA Code: 47D2255417
  • Facility Name: SHAWS PHARMACY #0117
  • Facility Address: 570 SHELBURNE RD
    BURLINGTON, VT
    ZIP 05401
  • Facility Phone: 802 860-3311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEANA BOUCHARD
  • NPI Number: 1023065588
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2255417
LAB Type Pharmacy
Facility Name SHAWS PHARMACY #0117
Street 570 SHELBURNE RD
City BURLINGTON
State VT
ZIP 05401
Phone 802 860-3311
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