07D1074423 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC DBA-CVS PHARMACY # 01060

Laboratory Demographics

CLIA Number: 07D1074423

Facility Name: CONNECTICUT CVS PHARMACY, LLC DBA-CVS PHARMACY # 01060

Facility Address:
326 MAIN ST
SOUTHINGTON, CT
ZIP 06489
Get Directions

Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043476005

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	07D1074423
LAB Type	Pharmacy
Facility Name	CONNECTICUT CVS PHARMACY, LLC DBA-CVS PHARMACY # 01060
Street	326 MAIN ST
City	SOUTHINGTON
State	CT
ZIP	06489
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024