07D2240202 CLIA NUMBER - WALGREENS # 10483

Laboratory Demographics

  • CLIA Code: 07D2240202
  • Facility Name: WALGREENS # 10483
  • Facility Address: 698 BANK ST
    NEW LONDON, CT
    ZIP 06320
  • Facility Phone: 860 440-3566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA E. HIGGINS PHARM-D
  • NPI Number: 1538344932
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2240202
LAB Type Pharmacy
Facility Name WALGREENS # 10483
Street 698 BANK ST
City NEW LONDON
State CT
ZIP 06320
Phone 860 440-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Pharmacy
Lab Director AMANDA E. HIGGINS PHARM-D

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