07D2308664 CLIA NUMBER - WALGREENS 11620

Laboratory Demographics

  • CLIA Code: 07D2308664
  • Facility Name: WALGREENS 11620
  • Facility Address: 1203 HIGH RIDGE RD
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 322-7669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UNA PAEK
  • NPI Number: 1881924363
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2308664
LAB Type Pharmacy
Facility Name WALGREENS 11620
Street 1203 HIGH RIDGE RD
City STAMFORD
State CT
ZIP 06905
Phone 203 322-7669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director UNA PAEK

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