07D2244762 CLIA NUMBER - WALGREENS # 06308

Laboratory Demographics

  • CLIA Code: 07D2244762
  • Facility Name: WALGREENS # 06308
  • Facility Address: 55 WESTPORT AVE
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 845-0457
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLENN MASON RPH
  • NPI Number: 1700891058
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2244762
LAB Type Pharmacy
Facility Name WALGREENS # 06308
Street 55 WESTPORT AVE
City NORWALK
State CT
ZIP 06851
Phone 203 845-0457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director GLENN MASON RPH

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