07D0709816 CLIA NUMBER - PEDIATRIC ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 07D0709816
  • Facility Name: PEDIATRIC ASSOCIATES, LLC
  • Facility Address: 43 ENTERPRISE DR
    BRISTOL, CT
    ZIP 06010
  • Facility Phone: (860) 589-5230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLYN CLARK
  • NPI Number: 1295920015
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0709816
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES, LLC
Street 43 ENTERPRISE DR
City BRISTOL
State CT
ZIP 06010
Phone 8605895230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director CAROLYN CLARK

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This page was last updated on: 5/18/2026