07D1030676 CLIA NUMBER - STONERIDGE SENIOR CARE, LLC D/B/A-AVALON HEALTHCARE AT STONERIDGE

Laboratory Demographics

  • CLIA Code: 07D1030676
  • Facility Name: STONERIDGE SENIOR CARE, LLC D/B/A-AVALON HEALTHCARE AT STONERIDGE
  • Facility Address: 186 JERRY BROWNE RD
    MYSTIC, CT
    ZIP 06355
  • Facility Phone: 860 536-9700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICK CARTIER
  • NPI Number: 1467436907
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D1030676
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STONERIDGE SENIOR CARE, LLC D/B/A-AVALON HEALTHCARE AT STONERIDGE
Street 186 JERRY BROWNE RD
City MYSTIC
State CT
ZIP 06355
Phone 860 536-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PATRICK CARTIER

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