07D0666733 CLIA NUMBER - MEADOW BROOK OF GRANBY

Laboratory Demographics

  • CLIA Code: 07D0666733
  • Facility Name: MEADOW BROOK OF GRANBY
  • Facility Address: 350 SALMON BROOK ST
    GRANBY, CT
    ZIP 06035
  • Facility Phone: 860 653-9888
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SYED ALI
  • NPI Number: 1134562812
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0666733
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOW BROOK OF GRANBY
Street 350 SALMON BROOK ST
City GRANBY
State CT
ZIP 06035
Phone 860 653-9888
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 SYED ALI

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