07D2247935 CLIA NUMBER - BRIDGEPORT CHEMISTS, INC

Laboratory Demographics

  • CLIA Code: 07D2247935
  • Facility Name: BRIDGEPORT CHEMISTS, INC
  • Facility Address: 1407 FAIRFIELD AVE
    BRIDGEPORT, CT
    ZIP 06605
  • Facility Phone: 203 367-4571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJENDRA P. APPALANENI RPH
  • NPI Number: 1619074010
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2247935
LAB Type Pharmacy
Facility Name BRIDGEPORT CHEMISTS, INC
Street 1407 FAIRFIELD AVE
City BRIDGEPORT
State CT
ZIP 06605
Phone 203 367-4571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Pharmacy
Lab Director RAJENDRA P. APPALANENI RPH

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