07D2308356 CLIA NUMBER - WALGREENS 17767

Laboratory Demographics

  • CLIA Code: 07D2308356
  • Facility Name: WALGREENS 17767
  • Facility Address: 125 WESTBROOK ROAD
    ESSEX, CT
    ZIP 06426
  • Facility Phone: 860 767-2181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHWINI S. KAMAT
  • NPI Number: 1104349141
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2308356
LAB Type Pharmacy
Facility Name WALGREENS 17767
Street 125 WESTBROOK ROAD
City ESSEX
State CT
ZIP 06426
Phone 860 767-2181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Pharmacy
Lab Director ASHWINI S. KAMAT

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