07D2282236 CLIA NUMBER - CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 01987

Laboratory Demographics

  • CLIA Code: 07D2282236
  • Facility Name: CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 01987
  • Facility Address: 1938 WEST MAIN ST
    STAMFORD, CT
    ZIP 06902
  • Facility Phone: 203 323-7864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ENGI KABA
  • NPI Number: 1013403542
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2282236
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 01987
Street 1938 WEST MAIN ST
City STAMFORD
State CT
ZIP 06902
Phone 203 323-7864
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 ENGI KABA

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