07D2175740 CLIA NUMBER - ELECTRIC BOAT FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 07D2175740
  • Facility Name: ELECTRIC BOAT FAMILY PHARMACY
  • Facility Address: 32 CHICAGO AVE
    GROTON, CT
    ZIP 06340
  • Facility Phone: 860 405-0771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK TOCE III
  • NPI Number: 1841513165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2175740
LAB Type Pharmacy
Facility Name ELECTRIC BOAT FAMILY PHARMACY
Street 32 CHICAGO AVE
City GROTON
State CT
ZIP 06340
Phone 860 405-0771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director FRANK TOCE III

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