07D2293232 CLIA NUMBER - WALGREENS 06757

Laboratory Demographics

  • CLIA Code: 07D2293232
  • Facility Name: WALGREENS 06757
  • Facility Address: 1333 E PUTNAM AVENUE
    RIVERSIDE, CT
    ZIP 06878
  • Facility Phone: 203 637-1496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARQ WALTON
  • NPI Number: 1073528329
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2293232
LAB Type Pharmacy
Facility Name WALGREENS 06757
Street 1333 E PUTNAM AVENUE
City RIVERSIDE
State CT
ZIP 06878
Phone 203 637-1496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director MARQ WALTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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