07D0872890 CLIA NUMBER - AUTUMN LAKE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 07D0872890
  • Facility Name: AUTUMN LAKE HEALTHCARE
  • Facility Address: 34 MIDROCKS DR
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 842-5700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEGAN SMITH
  • NPI Number: 1154725125
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0872890
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN LAKE HEALTHCARE
Street 34 MIDROCKS DR
City NORWALK
State CT
ZIP 06851
Phone 203 842-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MEGAN SMITH

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