07D2240011 CLIA NUMBER - WALGREENS #07602

Laboratory Demographics

  • CLIA Code: 07D2240011
  • Facility Name: WALGREENS #07602
  • Facility Address: 274 MONROE TPKE
    MONROE, CT
    ZIP 06468
  • Facility Phone: 203 268-1216
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA A. BENINAN
  • NPI Number: 1790790046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2240011
LAB Type Pharmacy
Facility Name WALGREENS #07602
Street 274 MONROE TPKE
City MONROE
State CT
ZIP 06468
Phone 203 268-1216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director ALICIA A. BENINAN

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