07D2225129 CLIA NUMBER - WALGREENS #05406

Laboratory Demographics

  • CLIA Code: 07D2225129
  • Facility Name: WALGREENS #05406
  • Facility Address: 1191 DIXWELL AVE
    HAMDEN, CT
    ZIP 06514
  • Facility Phone: 203 230-2803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JATIN N. KUKREJA RPH
  • NPI Number: 1619982964
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2225129
LAB Type Pharmacy
Facility Name WALGREENS #05406
Street 1191 DIXWELL AVE
City HAMDEN
State CT
ZIP 06514
Phone 203 230-2803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director JATIN N. KUKREJA RPH

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