07D0095191 CLIA NUMBER - ROBERT D CARLSON MD LLC

Laboratory Demographics

  • CLIA Code: 07D0095191
  • Facility Name: ROBERT D CARLSON MD LLC
  • Facility Address: 47 EAST MAIN ST
    STAFFORD SPRINGS, CT
    ZIP 06076
  • Facility Phone: 860 429-8439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT D. CARLSON
  • NPI Number: 1861718264
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0095191
LAB Type Physician Office
Facility Name ROBERT D CARLSON MD LLC
Street 47 EAST MAIN ST
City STAFFORD SPRINGS
State CT
ZIP 06076
Phone 860 429-8439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT D. CARLSON

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