07D2225677 CLIA NUMBER - WALGREENS # 02228

Laboratory Demographics

  • CLIA Code: 07D2225677
  • Facility Name: WALGREENS # 02228
  • Facility Address: 2900 MAIN ST
    GLASTONBURY, CT
    ZIP 06033
  • Facility Phone: 860 633-4186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEYNABOU FALL RPH
  • NPI Number: 1437551892
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2225677
LAB Type Pharmacy
Facility Name WALGREENS # 02228
Street 2900 MAIN ST
City GLASTONBURY
State CT
ZIP 06033
Phone 860 633-4186
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 SEYNABOU FALL RPH

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