07D0095270 CLIA NUMBER - SHORELINE OB-GYN A MEMBER OF WOMENS HEALTH CT

Laboratory Demographics

  • CLIA Code: 07D0095270
  • Facility Name: SHORELINE OB-GYN A MEMBER OF WOMENS HEALTH CT
  • Facility Address: 4 SHAWS COVE, SUITE 204
    NEW LONDON, CT
    ZIP 06320
  • Facility Phone: 860 447-2377
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL A. LAVALLEE
  • NPI Number: 1679684757
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 07D0095270
LAB Type Physician Office
Facility Name SHORELINE OB-GYN A MEMBER OF WOMENS HEALTH CT
Street 4 SHAWS COVE, SUITE 204
City NEW LONDON
State CT
ZIP 06320
Phone 860 447-2377
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director MICHAEL A. LAVALLEE

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