CLIA lab
CLIA 07D2241431: Walgreens # 04490
Wethersfield, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2241431 belongs to Walgreens # 04490 in Wethersfield, CT.
Certificate of Waiver, effective October 28, 2025, expires October 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 28, 2025
- Certificate expiration
- October 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2241431
- Lab name
- Walgreens # 04490
- Address
- 1100 Silas Deane Hwy, Wethersfield, CT 06109
- Phone
- (860) 721-7224
- Fax
- (860) 721-7252
Annual test volume the lab reported
- Waived tests
- 12,275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Walgreens # 04490 in Wethersfield?
07D2241431, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens # 04490 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2241431 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.