07D2241431 CLIA NUMBER - WALGREENS # 04490

Laboratory Demographics

  • CLIA Code: 07D2241431
  • Facility Name: WALGREENS # 04490
  • Facility Address: 1100 SILAS DEANE HWY
    WETHERSFIELD, CT
    ZIP 06109
  • Facility Phone: 860 721-7224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THEODORE WOJCIK RPH
  • NPI Number: 1003821356
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2241431
LAB Type Pharmacy
Facility Name WALGREENS # 04490
Street 1100 SILAS DEANE HWY
City WETHERSFIELD
State CT
ZIP 06109
Phone 860 721-7224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Pharmacy
Lab Director THEODORE WOJCIK RPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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