07D2224902 CLIA NUMBER - WALGREENS #09785

Laboratory Demographics

  • CLIA Code: 07D2224902
  • Facility Name: WALGREENS #09785
  • Facility Address: 436 WHALLEY AVE
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 777-8001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHANNA MARTINEZ
  • NPI Number: 1730194085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2224902
LAB Type Pharmacy
Facility Name WALGREENS #09785
Street 436 WHALLEY AVE
City NEW HAVEN
State CT
ZIP 06511
Phone 203 777-8001
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 JOHANNA MARTINEZ

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