07D2227216 CLIA NUMBER - WALGREENS # 17899

Laboratory Demographics

  • CLIA Code: 07D2227216
  • Facility Name: WALGREENS # 17899
  • Facility Address: 455 SOUTH MAIN ST
    THOMASTON, CT
    ZIP 06787
  • Facility Phone: 860 283-8541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE I. SANNASI
  • NPI Number: 1023531076
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2227216
LAB Type Pharmacy
Facility Name WALGREENS # 17899
Street 455 SOUTH MAIN ST
City THOMASTON
State CT
ZIP 06787
Phone 860 283-8541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director CAMILLE I. SANNASI

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