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07D2281285 CLIA NUMBER - CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHRMACY # 02388

Laboratory Demographics

CLIA Number: 07D2281285

Facility Name: CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHRMACY # 02388

Facility Address:
2000 NORTH MAIN ST
WATERBURY, CT
ZIP 06704
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Facility Phone Number: 203 591-3081

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619071537

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 07D2281285
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHRMACY # 02388
Street 2000 NORTH MAIN ST
City WATERBURY
State CT
ZIP 06704
Phone 203 591-3081
CertificateType 4
CertificateEffectiveDate 5/4/2023
CertificateExpirationDate 5/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024