07D2288461 CLIA NUMBER - WALGREENS # 17216

Laboratory Demographics

  • CLIA Code: 07D2288461
  • Facility Name: WALGREENS # 17216
  • Facility Address: 27 BROADWAY
    COLCHESTER, CT
    ZIP 06415
  • Facility Phone: 860 537-9034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHRADDHA PATEL
  • NPI Number: 1851814867
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2288461
LAB Type Pharmacy
Facility Name WALGREENS # 17216
Street 27 BROADWAY
City COLCHESTER
State CT
ZIP 06415
Phone 860 537-9034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director SHRADDHA PATEL

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