07D2225666 CLIA NUMBER - WALGREENS # 09746

Laboratory Demographics

  • CLIA Code: 07D2225666
  • Facility Name: WALGREENS # 09746
  • Facility Address: 1 ELM ST
    WINDSOR LOCKS, CT
    ZIP 06096
  • Facility Phone: 860 292-1751
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER MIKKELSON RPH
  • NPI Number: 1851537203
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2225666
LAB Type Pharmacy
Facility Name WALGREENS # 09746
Street 1 ELM ST
City WINDSOR LOCKS
State CT
ZIP 06096
Phone 860 292-1751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director JENNIFER MIKKELSON RPH

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