07D0944479 CLIA NUMBER - CANTERBURY PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 07D0944479
  • Facility Name: CANTERBURY PEDIATRICS, PC
  • Facility Address: 401 MONROE TURNPIKE
    MONROE, CT
    ZIP 06468
  • Facility Phone: 203 452-1063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARILYN P. SMITH MD
  • NPI Number: 1528077286
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0944479
LAB Type Physician Office
Facility Name CANTERBURY PEDIATRICS, PC
Street 401 MONROE TURNPIKE
City MONROE
State CT
ZIP 06468
Phone 203 452-1063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director MARILYN P. SMITH MD

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