07D2289839 CLIA NUMBER - WALGREENS 18169

Laboratory Demographics

  • CLIA Code: 07D2289839
  • Facility Name: WALGREENS 18169
  • Facility Address: 620 MAIN ST
    WATERTOWN, CT
    ZIP 06795
  • Facility Phone: 860 274-7559
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES PERUGINI RPH
  • NPI Number: 1649794934
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2289839
LAB Type Pharmacy
Facility Name WALGREENS 18169
Street 620 MAIN ST
City WATERTOWN
State CT
ZIP 06795
Phone 860 274-7559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director JAMES PERUGINI RPH

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