07D2229403 CLIA NUMBER - WALGREENS # 07759

Laboratory Demographics

  • CLIA Code: 07D2229403
  • Facility Name: WALGREENS # 07759
  • Facility Address: 441 LONG HILL RD
    GROTON, CT
    ZIP 06340
  • Facility Phone: 860 405-1919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD W. MALIK
  • NPI Number: 1720125164
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2229403
LAB Type Pharmacy
Facility Name WALGREENS # 07759
Street 441 LONG HILL RD
City GROTON
State CT
ZIP 06340
Phone 860 405-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director MUHAMMAD W. MALIK

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