07D2205017 CLIA NUMBER - NORTH STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 07D2205017
  • Facility Name: NORTH STREET PHARMACY
  • Facility Address: 1043 NORTH ST
    GREENWICH, CT
    ZIP 06831
  • Facility Phone: 203 869-2130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONALI COSTA RPH
  • NPI Number: 1982968608
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2205017
LAB Type Pharmacy
Facility Name NORTH STREET PHARMACY
Street 1043 NORTH ST
City GREENWICH
State CT
ZIP 06831
Phone 203 869-2130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director SONALI COSTA RPH

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