07D2229653 CLIA NUMBER - WALGREENS #10310

Laboratory Demographics

  • CLIA Code: 07D2229653
  • Facility Name: WALGREENS #10310
  • Facility Address: 780 E MAIN ST
    STAMFORD, CT
    ZIP 06902
  • Facility Phone: 203 353-9117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN J. YOUNG
  • NPI Number: 1346498235
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2229653
LAB Type Pharmacy
Facility Name WALGREENS #10310
Street 780 E MAIN ST
City STAMFORD
State CT
ZIP 06902
Phone 203 353-9117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director DAN J. YOUNG

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