07D0095701 CLIA NUMBER - NORWICH PEDIATRIC GROUP PC

Laboratory Demographics

  • CLIA Code: 07D0095701
  • Facility Name: NORWICH PEDIATRIC GROUP PC
  • Facility Address: 92 NEW LONDON TPKE
    NORWICH, CT
    ZIP 06360
  • Facility Phone: 860 889-3835
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD W. GELLER
  • NPI Number: 1134329485
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0095701
LAB Type Physician Office
Facility Name NORWICH PEDIATRIC GROUP PC
Street 92 NEW LONDON TPKE
City NORWICH
State CT
ZIP 06360
Phone 860 889-3835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director RICHARD W. GELLER

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