07D2224967 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 10130

Laboratory Demographics

  • CLIA Code: 07D2224967
  • Facility Name: CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 10130
  • Facility Address: 110 MAIN ST
    HEBRON, CT
    ZIP 06248
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETHANY HENRI
  • NPI Number: 1598038812
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2224967
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY, LLC DBA- CVS PHARMACY # 10130
Street 110 MAIN ST
City HEBRON
State CT
ZIP 06248
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 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director BETHANY HENRI

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