07D2205642 CLIA NUMBER - WALGREENS #05134

Laboratory Demographics

  • CLIA Code: 07D2205642
  • Facility Name: WALGREENS #05134
  • Facility Address: 540 BUSHY HILL RD
    SIMSBURY, CT
    ZIP 06070
  • Facility Phone: 860 658-0479
  • Facility Type: Other - COVID TEST SITE
  • Facility Type: Waiver
  • Lab Director: JACQUELINE CALLAGHAN
  • NPI Number: 1568477818
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2205642
LAB Type Other - COVID TEST SITE
Facility Name WALGREENS #05134
Street 540 BUSHY HILL RD
City SIMSBURY
State CT
ZIP 06070
Phone 860 658-0479
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 JACQUELINE CALLAGHAN

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