07D2205356 CLIA NUMBER - MILFORD PHARMACY AND HOME CARE

Laboratory Demographics

  • CLIA Code: 07D2205356
  • Facility Name: MILFORD PHARMACY AND HOME CARE
  • Facility Address: 78 BROAD ST
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 713-8101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOURA JEBLAWI
  • NPI Number: 1891728960
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2205356
LAB Type Pharmacy
Facility Name MILFORD PHARMACY AND HOME CARE
Street 78 BROAD ST
City MILFORD
State CT
ZIP 06460
Phone 203 713-8101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director NOURA JEBLAWI

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