47D2287734 CLIA NUMBER - WALGREENS 17631

Laboratory Demographics

  • CLIA Code: 47D2287734
  • Facility Name: WALGREENS 17631
  • Facility Address: 194 NORTH ST, STE 1
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 442-2240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAKTI CHAUDHARI
  • NPI Number: 1205359890
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2287734
LAB Type Pharmacy
Facility Name WALGREENS 17631
Street 194 NORTH ST, STE 1
City BENNINGTON
State VT
ZIP 05201
Phone 802 442-2240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director BHAKTI CHAUDHARI

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