07D0868505 CLIA NUMBER - COMMUNITY RESIDENCES INC

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Field Name	Field Value
CLIA Number	07D0868505
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	COMMUNITY RESIDENCES INC
Street	732 WEST STREET
City	SOUTHINGTON
State	CT
ZIP	06489
Phone	860 621-7600
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	Intermediate Care Facility for Mentally Retarded
Lab Director	PAUL M. ROSIN

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