47D2292803 CLIA NUMBER - WALGREENS 19795

Laboratory Demographics

  • CLIA Code: 47D2292803
  • Facility Name: WALGREENS 19795
  • Facility Address: 133 NORTH MAIN ST, STE 23
    ST ALBANS, VT
    ZIP 05478
  • Facility Phone: 802 524-2141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMERON S. MONTGOMERY
  • NPI Number: 1811410418
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2292803
LAB Type Pharmacy
Facility Name WALGREENS 19795
Street 133 NORTH MAIN ST, STE 23
City ST ALBANS
State VT
ZIP 05478
Phone 802 524-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director CAMERON S. MONTGOMERY

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