07D0699054 CLIA NUMBER - UNIONVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 07D0699054
  • Facility Name: UNIONVILLE PEDIATRICS
  • Facility Address: 101 MAIN ST
    UNIONVILLE, CT
    ZIP 06085
  • Facility Phone: 203 673-6124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. JANNUZZI
  • NPI Number: 1497748636
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0699054
LAB Type Physician Office
Facility Name UNIONVILLE PEDIATRICS
Street 101 MAIN ST
City UNIONVILLE
State CT
ZIP 06085
Phone 203 673-6124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director PETER J. JANNUZZI

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