47D2287499 CLIA NUMBER - WALGREENS 17447

Laboratory Demographics

  • CLIA Code: 47D2287499
  • Facility Name: WALGREENS 17447
  • Facility Address: 39 HINESBURG RD
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Facility Phone: 802 862-5722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA M. GONZALEZ
  • NPI Number: 1437672086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2287499
LAB Type Pharmacy
Facility Name WALGREENS 17447
Street 39 HINESBURG RD
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 802 862-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director CHRISTINA M. GONZALEZ

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