07D0720091 CLIA NUMBER - COBALT LODGE HEALTH CARE & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 07D0720091
  • Facility Name: COBALT LODGE HEALTH CARE & REHAB CENTER
  • Facility Address: 29 MIDDLE HADDAM ROAD P O BOX 246
    COBALT, CT
    ZIP 06414
  • Facility Phone: 860 267-9034
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE DINICE
  • NPI Number: 1902965007
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0720091
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COBALT LODGE HEALTH CARE & REHAB CENTER
Street 29 MIDDLE HADDAM ROAD P O BOX 246
City COBALT
State CT
ZIP 06414
Phone 860 267-9034
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 JULIE DINICE

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