07D2289112 CLIA NUMBER - WALGREENS #19134

Laboratory Demographics

  • CLIA Code: 07D2289112
  • Facility Name: WALGREENS #19134
  • Facility Address: 331 WEST STREET
    LITCHFIELD, CT
    ZIP 06759
  • Facility Phone: 860 567-7064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES J. MOORE
  • NPI Number: 1124541008
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2289112
LAB Type Pharmacy
Facility Name WALGREENS #19134
Street 331 WEST STREET
City LITCHFIELD
State CT
ZIP 06759
Phone 860 567-7064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Pharmacy
Lab Director JAMES J. MOORE

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