07D2229654 CLIA NUMBER - WALGREENS #10177

Laboratory Demographics

  • CLIA Code: 07D2229654
  • Facility Name: WALGREENS #10177
  • Facility Address: 54 WEST AVE
    NORWALK, CT
    ZIP 06854
  • Facility Phone: 203 299-1215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA K. FRAGOMELI
  • NPI Number: 1659528990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2229654
LAB Type Pharmacy
Facility Name WALGREENS #10177
Street 54 WEST AVE
City NORWALK
State CT
ZIP 06854
Phone 203 299-1215
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 MELINDA K. FRAGOMELI

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