07D0096157 CLIA NUMBER - MIDDLESEX HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 07D0096157
  • Facility Name: MIDDLESEX HEALTHCARE AT HOME
  • Facility Address: 117 MAIN STREET EXTENSION
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 358-5730
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROMULO CELLI
  • NPI Number: 1003873233
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 07D0096157
LAB Type Home Health Agency
Facility Name MIDDLESEX HEALTHCARE AT HOME
Street 117 MAIN STREET EXTENSION
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 358-5730
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 Home Health Agency
Lab Director ROMULO CELLI

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This page was last updated on: 6/4/2025