47D2287735 CLIA NUMBER - WALGREENS 17485

Laboratory Demographics

  • CLIA Code: 47D2287735
  • Facility Name: WALGREENS 17485
  • Facility Address: 321 MAIN ST, STE 1
    WINOOSKI, VT
    ZIP 05404
  • Facility Phone: 802 655-2444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIELA I VEGA MALDONADO
  • NPI Number: 1376066944
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2287735
LAB Type Pharmacy
Facility Name WALGREENS 17485
Street 321 MAIN ST, STE 1
City WINOOSKI
State VT
ZIP 05404
Phone 802 655-2444
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 GABRIELA I VEGA MALDONADO

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