07D2288641 CLIA NUMBER - WALGREENS # 17726

Laboratory Demographics

  • CLIA Code: 07D2288641
  • Facility Name: WALGREENS # 17726
  • Facility Address: 37 SOUTH BROAD ST
    PAWCATUCK, CT
    ZIP 06379
  • Facility Phone: 860 599-4030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY R. PLANTE
  • NPI Number: 1073037305
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2288641
LAB Type Pharmacy
Facility Name WALGREENS # 17726
Street 37 SOUTH BROAD ST
City PAWCATUCK
State CT
ZIP 06379
Phone 860 599-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director GREGORY R. PLANTE

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