07D0710104 CLIA NUMBER - CONNECTICUT PEDIATRIC PARTNERSHIP KINGS HWY LOCATION

Laboratory Demographics

  • CLIA Code: 07D0710104
  • Facility Name: CONNECTICUT PEDIATRIC PARTNERSHIP KINGS HWY LOCATION
  • Facility Address: 156 KINGS HWY NO, STE 3
    WESTPORT, CT
    ZIP 06880
  • Facility Phone: 203 227-3674
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI M. STORCH SMITH
  • NPI Number: 1861907354
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0710104
LAB Type Physician Office
Facility Name CONNECTICUT PEDIATRIC PARTNERSHIP KINGS HWY LOCATION
Street 156 KINGS HWY NO, STE 3
City WESTPORT
State CT
ZIP 06880
Phone 203 227-3674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director LORI M. STORCH SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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