07D0875294 CLIA NUMBER - MIDSTATE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 07D0875294
  • Facility Name: MIDSTATE MEDICAL CENTER
  • Facility Address: 61 POMEROY AVE
    MERIDEN, CT
    ZIP 06450
  • Facility Phone: 203 694-5351
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN S. EARLE
  • NPI Number: 1982687943
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0875294
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MIDSTATE MEDICAL CENTER
Street 61 POMEROY AVE
City MERIDEN
State CT
ZIP 06450
Phone 203 694-5351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JONATHAN S. EARLE

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