07D2288787 CLIA NUMBER - WALGREENS 09821

Laboratory Demographics

  • CLIA Code: 07D2288787
  • Facility Name: WALGREENS 09821
  • Facility Address: 36 PINE ST
    NEW CANAAN, CT
    ZIP 06840
  • Facility Phone: 203 801-4026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHOI M. PHUNG
  • NPI Number: 1144496340
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2288787
LAB Type Pharmacy
Facility Name WALGREENS 09821
Street 36 PINE ST
City NEW CANAAN
State CT
ZIP 06840
Phone 203 801-4026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director CHOI M. PHUNG

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