07D0100302 CLIA NUMBER - COMPLETE CARE AT MIDDLEBURY

Laboratory Demographics

  • CLIA Code: 07D0100302
  • Facility Name: COMPLETE CARE AT MIDDLEBURY
  • Facility Address: 778 MIDDLEBURY RD
    MIDDLEBURY, CT
    ZIP 06762
  • Facility Phone: 203 758-2471
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ADEDAYO ADETOLA
  • NPI Number: 1497434807
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0100302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMPLETE CARE AT MIDDLEBURY
Street 778 MIDDLEBURY RD
City MIDDLEBURY
State CT
ZIP 06762
Phone 203 758-2471
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 ADEDAYO ADETOLA

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