07D0663599 CLIA NUMBER - WILLOWS PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 07D0663599
  • Facility Name: WILLOWS PEDIATRIC GROUP
  • Facility Address: 1563 POST RD EAST
    WESTPORT, CT
    ZIP 06880
  • Facility Phone: 203 319-3939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY OWENS MD
  • NPI Number: 1427124882
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0663599
LAB Type Physician Office
Facility Name WILLOWS PEDIATRIC GROUP
Street 1563 POST RD EAST
City WESTPORT
State CT
ZIP 06880
Phone 203 319-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director JEFFREY OWENS MD

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