07D2289688 CLIA NUMBER - WALGREENS 02410

Laboratory Demographics

  • CLIA Code: 07D2289688
  • Facility Name: WALGREENS 02410
  • Facility Address: 1697 WHITNEY AVE
    HAMDEN, CT
    ZIP 06517
  • Facility Phone: 203 230-0610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS T. MCINNIS PHARM D
  • NPI Number: 1467467712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2289688
LAB Type Pharmacy
Facility Name WALGREENS 02410
Street 1697 WHITNEY AVE
City HAMDEN
State CT
ZIP 06517
Phone 203 230-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Pharmacy
Lab Director NICHOLAS T. MCINNIS PHARM D

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