07D2242513 CLIA NUMBER - WALGREENS # 10119

Laboratory Demographics

  • CLIA Code: 07D2242513
  • Facility Name: WALGREENS # 10119
  • Facility Address: 980 FARMINGTON AVE
    BERLIN, CT
    ZIP 06037
  • Facility Phone: 860 828-6844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARSVATI PATEL
  • NPI Number: 1891917472
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2242513
LAB Type Pharmacy
Facility Name WALGREENS # 10119
Street 980 FARMINGTON AVE
City BERLIN
State CT
ZIP 06037
Phone 860 828-6844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director SARSVATI PATEL

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