07D1052005 CLIA NUMBER - RIVERSIDE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 07D1052005
  • Facility Name: RIVERSIDE PEDIATRICS, LLC
  • Facility Address: 1171 EAST PUTNAM AVE, BLDG 2
    RIVERSIDE, CT
    ZIP 06878
  • Facility Phone: 203 629-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN E. BECKMAN, MD
  • NPI Number: 1104963966
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1052005
LAB Type Physician Office
Facility Name RIVERSIDE PEDIATRICS, LLC
Street 1171 EAST PUTNAM AVE, BLDG 2
City RIVERSIDE
State CT
ZIP 06878
Phone 203 629-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director KAREN E. BECKMAN, MD

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