07D2289115 CLIA NUMBER - WALGREENS #11164

Laboratory Demographics

  • CLIA Code: 07D2289115
  • Facility Name: WALGREENS #11164
  • Facility Address: 46A DANBURY ROAD
    RIDGEFIELD, CT
    ZIP 06877
  • Facility Phone: 203 894-8744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAYLEY P. MAINELLA
  • NPI Number: 1437397916
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2289115
LAB Type Pharmacy
Facility Name WALGREENS #11164
Street 46A DANBURY ROAD
City RIDGEFIELD
State CT
ZIP 06877
Phone 203 894-8744
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 HAYLEY P. MAINELLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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