07D2244392 CLIA NUMBER - WALGREENS # 10647

Laboratory Demographics

  • CLIA Code: 07D2244392
  • Facility Name: WALGREENS # 10647
  • Facility Address: 284 S COLONY RD
    WALLINGFORD, CT
    ZIP 06492
  • Facility Phone: 203 265-6336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE ADAMIDIS
  • NPI Number: 1649285990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2244392
LAB Type Pharmacy
Facility Name WALGREENS # 10647
Street 284 S COLONY RD
City WALLINGFORD
State CT
ZIP 06492
Phone 203 265-6336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Pharmacy
Lab Director STEPHANIE ADAMIDIS

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