07D0097299 CLIA NUMBER - SOUTHINGTON FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 07D0097299
  • Facility Name: SOUTHINGTON FAMILY MEDICAL CENTER
  • Facility Address: 1753 MERIDEN-WATERBURY RD
    MILLDALE, CT
    ZIP 06467
  • Facility Phone: 860 621-5554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. RIVERA JR
  • NPI Number: 1154387264
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0097299
LAB Type Physician Office
Facility Name SOUTHINGTON FAMILY MEDICAL CENTER
Street 1753 MERIDEN-WATERBURY RD
City MILLDALE
State CT
ZIP 06467
Phone 860 621-5554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director JOHN E. RIVERA JR

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