07D2225053 CLIA NUMBER - WALGREENS # 09784

Laboratory Demographics

  • CLIA Code: 07D2225053
  • Facility Name: WALGREENS # 09784
  • Facility Address: 20 CONNECTICUT BLVD
    EAST HARTFORD, CT
    ZIP 06108
  • Facility Phone: 860 289-4944
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL NATALE PHARM-D
  • NPI Number: 1871513051
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2225053
LAB Type Pharmacy
Facility Name WALGREENS # 09784
Street 20 CONNECTICUT BLVD
City EAST HARTFORD
State CT
ZIP 06108
Phone 860 289-4944
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 MICHAEL NATALE PHARM-D

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