07D2224001 CLIA NUMBER - CONNECTICUT CVS PHARMACY DBA-CVS PHARMACY # 00123

Laboratory Demographics

CLIA Number: 07D2224001

Facility Name: CONNECTICUT CVS PHARMACY DBA-CVS PHARMACY # 00123

Facility Address:
519 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790120087

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	07D2224001
LAB Type	Pharmacy
Facility Name	CONNECTICUT CVS PHARMACY DBA-CVS PHARMACY # 00123
Street	519 BOSTON POST RD
City	OLD SAYBROOK
State	CT
ZIP	06475
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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