07D2229389 CLIA NUMBER - WALGREENS # 12315

Laboratory Demographics

CLIA Number: 07D2229389

Facility Name: WALGREENS # 12315

Facility Address:
49 SOUTH MAIN ST
NEWTOWN, CT
ZIP 06470
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Facility Phone Number: 203 270-4658

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780981985

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	07D2229389
LAB Type	Pharmacy
Facility Name	WALGREENS # 12315
Street	49 SOUTH MAIN ST
City	NEWTOWN
State	CT
ZIP	06470
Phone	203 270-4658
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024