07D2282238 CLIA NUMBER - CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 02839

Laboratory Demographics

  • CLIA Code: 07D2282238
  • Facility Name: CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 02839
  • Facility Address: 2005 NORWICH-NEW LONDON TPKE
    UNCASVILLE, CT
    ZIP 06382
  • Facility Phone: 860 848-3202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES JAKUBOWSKI
  • NPI Number: 1487804688
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2282238
LAB Type Pharmacy
Facility Name CONNECTICUT CVS PHARMACY LLC DBA CVS/PHARMACY 02839
Street 2005 NORWICH-NEW LONDON TPKE
City UNCASVILLE
State CT
ZIP 06382
Phone 860 848-3202
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 JAMES JAKUBOWSKI

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