07D2281287 CLIA NUMBER - CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHARMACY # 02099

Laboratory Demographics

  • CLIA Code: 07D2281287
  • Facility Name: CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHARMACY # 02099
  • Facility Address: 479 BLUE HILLS AVE
    HARTFORD, CT
    ZIP 06112
  • Facility Phone: (860) 769-6870
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAO NGUYEN
  • NPI Number: 1073617908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2281287
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY LLC D/B/A-CVS PAHARMACY # 02099
Street 479 BLUE HILLS AVE
City HARTFORD
State CT
ZIP 06112
Phone 8607696870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director BAO NGUYEN

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This page was last updated on: 5/18/2026