07D2205634 CLIA NUMBER - WALGREENS #01451

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Laboratory Demographics

CLIA Number: 07D2205634

Facility Name: WALGREENS #01451

Facility Address:
1083 BOSTON POST RD
MILFORD, CT
ZIP 06460
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Facility Phone Number: 203 878-7265

Facility Type: Other - COVID TESTING SITE

Certificate Type: Waiver

NPI Number: 1114933850

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	07D2205634
LAB Type	Other - COVID TESTING SITE
Facility Name	WALGREENS #01451
Street	1083 BOSTON POST RD
City	MILFORD
State	CT
ZIP	06460
Phone	203 878-7265
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024