07D2288785 CLIA NUMBER - WALGREENS 07750

Laboratory Demographics

CLIA Number: 07D2288785

Facility Name: WALGREENS 07750

Facility Address:
940 QUAKER LN S
WEST HARTFORD, CT
ZIP 06110
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Facility Phone Number: 860 231-7665

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063427318

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	07D2288785
LAB Type	Pharmacy
Facility Name	WALGREENS 07750
Street	940 QUAKER LN S
City	WEST HARTFORD
State	CT
ZIP	06110
Phone	860 231-7665
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024