07D2225028 CLIA NUMBER - WALGREENS # 06966

Laboratory Demographics

  • CLIA Code: 07D2225028
  • Facility Name: WALGREENS # 06966
  • Facility Address: 11 MERIDEN RD
    WATERBURY, CT
    ZIP 06705
  • Facility Phone: 203 757-1998
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEE RASPET RPH
  • NPI Number: 1255346508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2225028
LAB Type Pharmacy
Facility Name WALGREENS # 06966
Street 11 MERIDEN RD
City WATERBURY
State CT
ZIP 06705
Phone 203 757-1998
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 LEE RASPET RPH

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