07D2242521 CLIA NUMBER - WALGREENS # 07522

Laboratory Demographics

  • CLIA Code: 07D2242521
  • Facility Name: WALGREENS # 07522
  • Facility Address: 4083 MAIN ST
    BRIDGEPORT, CT
    ZIP 06606
  • Facility Phone: 203 374-2819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR P. ADDORISIO RPH
  • NPI Number: 1205842945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2242521
LAB Type Pharmacy
Facility Name WALGREENS # 07522
Street 4083 MAIN ST
City BRIDGEPORT
State CT
ZIP 06606
Phone 203 374-2819
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 VICTOR P. ADDORISIO RPH

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