07D2224881 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 02253

Laboratory Demographics

  • CLIA Code: 07D2224881
  • Facility Name: CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 02253
  • Facility Address: 111 ALBANY TPKE
    CANTON, CT
    ZIP 06019
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAO NGUYEN
  • NPI Number: 1881858959
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 07D2224881
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 02253
Street 111 ALBANY TPKE
City CANTON
State CT
ZIP 06019
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director BAO NGUYEN

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