07D2221416 CLIA NUMBER - WALGREENS # 09071

Laboratory Demographics

  • CLIA Code: 07D2221416
  • Facility Name: WALGREENS # 09071
  • Facility Address: 49 WASHINGTON AVE
    NORTH HAVEN, CT
    ZIP 06473
  • Facility Phone: 203 239-4428
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACEK WROBLEWSKI RPH
  • NPI Number: 1376558627
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2221416
LAB Type Pharmacy
Facility Name WALGREENS # 09071
Street 49 WASHINGTON AVE
City NORTH HAVEN
State CT
ZIP 06473
Phone 203 239-4428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director JACEK WROBLEWSKI RPH

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