07D0095820 CLIA NUMBER - NEW LONDON SUB-ACUTE AND CARE

Laboratory Demographics

  • CLIA Code: 07D0095820
  • Facility Name: NEW LONDON SUB-ACUTE AND CARE
  • Facility Address: 88 CLARK LANE
    WATERFORD, CT
    ZIP 06385
  • Facility Phone: (860) 442-0471
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY CANNON
  • NPI Number: 1275069221
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0095820
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEW LONDON SUB-ACUTE AND CARE
Street 88 CLARK LANE
City WATERFORD
State CT
ZIP 06385
Phone 8604420471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFFREY CANNON

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This page was last updated on: 5/18/2026