07D2205630 CLIA NUMBER - WALGREENS #11619

Laboratory Demographics

  • CLIA Code: 07D2205630
  • Facility Name: WALGREENS #11619
  • Facility Address: 144 BANK ST
    SEYMOUR, CT
    ZIP 06483
  • Facility Phone: 203 881-9999
  • Facility Type: Other - COVID TEST SITE
  • Facility Type: Waiver
  • Lab Director: NICHOLAS PICIW
  • NPI Number: 1093720344
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2205630
LAB Type Other - COVID TEST SITE
Facility Name WALGREENS #11619
Street 144 BANK ST
City SEYMOUR
State CT
ZIP 06483
Phone 203 881-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - COVID TEST SITE
Lab Director NICHOLAS PICIW

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