07D0925932 CLIA NUMBER - LAWRENCE & MEMORIAL HOSPITAL ATTN- LABORATORY MANAGER

Laboratory Demographics

  • CLIA Code: 07D0925932
  • Facility Name: LAWRENCE & MEMORIAL HOSPITAL ATTN- LABORATORY MANAGER
  • Facility Address: 365 MONTAUK AVE
    NEW LONDON, CT
    ZIP 06320
  • Facility Phone: 860 442-0711
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: VICTORIA G. REYES, MD
  • NPI Number: 1376716670
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0925932
LAB Type Hospital
Facility Name LAWRENCE & MEMORIAL HOSPITAL ATTN- LABORATORY MANAGER
Street 365 MONTAUK AVE
City NEW LONDON
State CT
ZIP 06320
Phone 860 442-0711
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 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Hospital
Lab Director VICTORIA G. REYES, MD

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