07D2217425 CLIA NUMBER - WALGREENS # 07258

Laboratory Demographics

  • CLIA Code: 07D2217425
  • Facility Name: WALGREENS # 07258
  • Facility Address: 370 MAIN STREET SOUTH
    SOUTHBURY, CT
    ZIP 06488
  • Facility Phone: 203 267-6718
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA CHRISTINO
  • NPI Number: 1912283219
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2217425
LAB Type Pharmacy
Facility Name WALGREENS # 07258
Street 370 MAIN STREET SOUTH
City SOUTHBURY
State CT
ZIP 06488
Phone 203 267-6718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director LISA CHRISTINO

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