07D2282226 CLIA NUMBER - CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 08249

Laboratory Demographics

  • CLIA Code: 07D2282226
  • Facility Name: CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 08249
  • Facility Address: 57 PROVIDENCE PIKE
    PUTMAN, CT
    ZIP 06260
  • Facility Phone: 860 963-2548
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY BRODY
  • NPI Number: 1942433032
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2282226
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY, LLC DBA CVS/PHARMACY 08249
Street 57 PROVIDENCE PIKE
City PUTMAN
State CT
ZIP 06260
Phone 860 963-2548
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 WENDY BRODY

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