07D2186005 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC D/B/A- CVS PHARMACY # 556

Laboratory Demographics

  • CLIA Code: 07D2186005
  • Facility Name: CONNECTICUT CVS PHARMACY, LLC D/B/A- CVS PHARMACY # 556
  • Facility Address: 1657 ROUTE 12
    GALES FERRY, CT
    ZIP 06335
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER MCMICKEN
  • NPI Number: 1972868180
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2186005
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY, LLC D/B/A- CVS PHARMACY # 556
Street 1657 ROUTE 12
City GALES FERRY
State CT
ZIP 06335
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Pharmacy
Lab Director JENNIFER MCMICKEN

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