07D0099754 CLIA NUMBER - AUTUMN LAKE HEALTH CARE AT BUCKS HILL

Laboratory Demographics

  • CLIA Code: 07D0099754
  • Facility Name: AUTUMN LAKE HEALTH CARE AT BUCKS HILL
  • Facility Address: 2817 NORTH MAIN ST
    WATERBURY, CT
    ZIP 06704
  • Facility Phone: 203 757-0731
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARC C. RAAD
  • NPI Number: 1235533209
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0099754
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN LAKE HEALTH CARE AT BUCKS HILL
Street 2817 NORTH MAIN ST
City WATERBURY
State CT
ZIP 06704
Phone 203 757-0731
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 Skilled Nursing Facility/Nursing Facility
Lab Director MARC C. RAAD

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