07D2213989 CLIA NUMBER - WALGREENS # 06914

Laboratory Demographics

  • CLIA Code: 07D2213989
  • Facility Name: WALGREENS # 06914
  • Facility Address: 87 FOXON RD
    NEW HAVEN, CT
    ZIP 06513
  • Facility Phone: 203 469-3016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUSHAR C. PATEL RPH
  • NPI Number: 1336154681
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2213989
LAB Type Pharmacy
Facility Name WALGREENS # 06914
Street 87 FOXON RD
City NEW HAVEN
State CT
ZIP 06513
Phone 203 469-3016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Pharmacy
Lab Director TUSHAR C. PATEL RPH

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