47D2287385 CLIA NUMBER - WALGREENS 17183

Laboratory Demographics

  • CLIA Code: 47D2287385
  • Facility Name: WALGREENS 17183
  • Facility Address: 1184 PRIM RD, STE 2
    COLCHESTER, VT
    ZIP 05446
  • Facility Phone: 802 863-2048
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANIL K. VINJAMURI
  • NPI Number: 1821511478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2287385
LAB Type Pharmacy
Facility Name WALGREENS 17183
Street 1184 PRIM RD, STE 2
City COLCHESTER
State VT
ZIP 05446
Phone 802 863-2048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director ANIL K. VINJAMURI

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