07D2232992 CLIA NUMBER - THOMASTON PHARMACY, PLLC

Laboratory Demographics

  • CLIA Code: 07D2232992
  • Facility Name: THOMASTON PHARMACY, PLLC
  • Facility Address: 130 SOUTH MAIN ST, STE 1B
    THOMASTON, CT
    ZIP 06787
  • Facility Phone: 860 484-4245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS RODER-HANNA RPH
  • NPI Number: 1871185264
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2232992
LAB Type Pharmacy
Facility Name THOMASTON PHARMACY, PLLC
Street 130 SOUTH MAIN ST, STE 1B
City THOMASTON
State CT
ZIP 06787
Phone 860 484-4245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Pharmacy
Lab Director NICHOLAS RODER-HANNA RPH

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