07D0874847 CLIA NUMBER - APPLE REHAB AVON

Laboratory Demographics

  • CLIA Code: 07D0874847
  • Facility Name: APPLE REHAB AVON
  • Facility Address: 220 SCOVILLE ROAD
    AVON, CT
    ZIP 06001
  • Facility Phone: 860 673-3265
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GARY MILLER
  • NPI Number: 1174852479
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0874847
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name APPLE REHAB AVON
Street 220 SCOVILLE ROAD
City AVON
State CT
ZIP 06001
Phone 860 673-3265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GARY MILLER

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