07D2224991 CLIA NUMBER - WALGREENS # 17893

Laboratory Demographics

  • CLIA Code: 07D2224991
  • Facility Name: WALGREENS # 17893
  • Facility Address: 340 FLANDERS RD
    EAST LYME, CT
    ZIP 06333
  • Facility Phone: 860 739-9007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA KOSIOREK RPH
  • NPI Number: 1457874406
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2224991
LAB Type Pharmacy
Facility Name WALGREENS # 17893
Street 340 FLANDERS RD
City EAST LYME
State CT
ZIP 06333
Phone 860 739-9007
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 LAURA KOSIOREK RPH

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