07D0901102 CLIA NUMBER - MIDSTATE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 07D0901102
  • Facility Name: MIDSTATE MEDICAL CENTER
  • Facility Address: 435 LEWIS AVE
    MERIDEN, CT
    ZIP 06451
  • Facility Phone: 203 694-8200
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: JONATHAN S. EARLE
  • NPI Number: 1427007848
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0901102
LAB Type Hospital
Facility Name MIDSTATE MEDICAL CENTER
Street 435 LEWIS AVE
City MERIDEN
State CT
ZIP 06451
Phone 203 694-8200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Hospital
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