07D2293219 CLIA NUMBER - WALGREENS 19532

Laboratory Demographics

  • CLIA Code: 07D2293219
  • Facility Name: WALGREENS 19532
  • Facility Address: 227 MAIN STREET
    PORTLAND, CT
    ZIP 06480
  • Facility Phone: (860) 342-2121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL A. EFTHYMIOU
  • NPI Number: 1659894079
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2293219
LAB Type Pharmacy
Facility Name WALGREENS 19532
Street 227 MAIN STREET
City PORTLAND
State CT
ZIP 06480
Phone 8603422121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2025
Certificate Expiration Date 11/5/2027
Facility Type Pharmacy
Lab Director PAUL A. EFTHYMIOU

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This page was last updated on: 5/18/2026