07D2290903 CLIA NUMBER - WALGREENS 07641

Laboratory Demographics

  • CLIA Code: 07D2290903
  • Facility Name: WALGREENS 07641
  • Facility Address: 359 MAIN ST
    SOUTHINGTON, CT
    ZIP 06489
  • Facility Phone: 860 621-3729
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE M. BORGIA RPH
  • NPI Number: 1275056962
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2290903
LAB Type Pharmacy
Facility Name WALGREENS 07641
Street 359 MAIN ST
City SOUTHINGTON
State CT
ZIP 06489
Phone 860 621-3729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director NICOLE M. BORGIA RPH

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