07D2289707 CLIA NUMBER - WALGREENS 18969

Laboratory Demographics

  • CLIA Code: 07D2289707
  • Facility Name: WALGREENS 18969
  • Facility Address: 1291 ALBANY AVE
    HARTFORD, CT
    ZIP 06112
  • Facility Phone: 860 560-1881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ATHER F. MOHAMMED RPH
  • NPI Number: 1659894178
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2289707
LAB Type Pharmacy
Facility Name WALGREENS 18969
Street 1291 ALBANY AVE
City HARTFORD
State CT
ZIP 06112
Phone 860 560-1881
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 ATHER F. MOHAMMED RPH

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