47D2290983 CLIA NUMBER - WALGREENS 19449

Laboratory Demographics

  • CLIA Code: 47D2290983
  • Facility Name: WALGREENS 19449
  • Facility Address: 158 CHERRY ST
    BURLINGTON, VT
    ZIP 05401
  • Facility Phone: 802 862-1562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK E. BUTLER
  • NPI Number: 1215451851
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2290983
LAB Type Pharmacy
Facility Name WALGREENS 19449
Street 158 CHERRY ST
City BURLINGTON
State VT
ZIP 05401
Phone 802 862-1562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director MARK E. BUTLER

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