07D2167465 CLIA NUMBER - HIGGANUM PHARMACY LLC D/B/A-NUTMEG PHARMACY

Laboratory Demographics

  • CLIA Code: 07D2167465
  • Facility Name: HIGGANUM PHARMACY LLC D/B/A-NUTMEG PHARMACY
  • Facility Address: 23 KILLINGWORTH RD
    HIGGANUM, CT
    ZIP 06441
  • Facility Phone: (860) 345-3607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREG E. MCKENNA RPH
  • NPI Number: 1447567961
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2167465
LAB Type Pharmacy
Facility Name HIGGANUM PHARMACY LLC D/B/A-NUTMEG PHARMACY
Street 23 KILLINGWORTH RD
City HIGGANUM
State CT
ZIP 06441
Phone 8603453607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director GREG E. MCKENNA RPH

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This page was last updated on: 5/18/2026