07D2239987 CLIA NUMBER - WALGREENS #15207 KARA N SCHOEDLER

Laboratory Demographics

CLIA Number: 07D2239987

Facility Name: WALGREENS #15207 KARA N SCHOEDLER

Facility Address:
668 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06119
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Facility Phone Number: 860 523-5849

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811902166

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	07D2239987
LAB Type	Pharmacy
Facility Name	WALGREENS #15207 KARA N SCHOEDLER
Street	668 FARMINGTON AVE
City	WEST HARTFORD
State	CT
ZIP	06119
Phone	860 523-5849
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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