07D2244560 CLIA NUMBER - WALGREENS # 07047

Laboratory Demographics

  • CLIA Code: 07D2244560
  • Facility Name: WALGREENS # 07047
  • Facility Address: 2920 BERLIN TPKE
    NEWINGTON, CT
    ZIP 06111
  • Facility Phone: 860 667-0461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMINA AYUB
  • NPI Number: 1154336402
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2244560
LAB Type Pharmacy
Facility Name WALGREENS # 07047
Street 2920 BERLIN TPKE
City NEWINGTON
State CT
ZIP 06111
Phone 860 667-0461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Pharmacy
Lab Director AMINA AYUB

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