07D2282221 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 02896

Laboratory Demographics

  • CLIA Code: 07D2282221
  • Facility Name: CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 02896
  • Facility Address: 675 WASHINGTON ST
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 344-1320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NISRINE DAGAMSEH
  • NPI Number: 1497905830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2282221
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 02896
Street 675 WASHINGTON ST
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 344-1320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director NISRINE DAGAMSEH

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