07D0706525 CLIA NUMBER - LIVEWELL CONNECTICUT

Laboratory Demographics

  • CLIA Code: 07D0706525
  • Facility Name: LIVEWELL CONNECTICUT
  • Facility Address: 1261 SOUTH MAIN STREET
    PLANTSVILLE, CT
    ZIP 06479
  • Facility Phone: 860 628-9000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RITA BERGSTRAND
  • NPI Number: 1396271532
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 07D0706525
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIVEWELL CONNECTICUT
Street 1261 SOUTH MAIN STREET
City PLANTSVILLE
State CT
ZIP 06479
Phone 860 628-9000
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 RITA BERGSTRAND

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