07D0998632 CLIA NUMBER - CLAIRE A FREE MD LLC

Laboratory Demographics

CLIA Number: 07D0998632

Facility Name: CLAIRE A FREE MD LLC

Facility Address:
2 OLD NEW MILFORD ROAD SUITE 2B
BROOKFIELD, CT
ZIP 06804
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Facility Phone Number: 203 775-0616

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851321624

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	07D0998632
LAB Type	Physician Office
Facility Name	CLAIRE A FREE MD LLC
Street	2 OLD NEW MILFORD ROAD SUITE 2B
City	BROOKFIELD
State	CT
ZIP	06804
Phone	203 775-0616
CertificateType	4
CertificateEffectiveDate	4/19/2024
CertificateExpirationDate	4/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024