07D1054422 CLIA NUMBER - LIFESPRING PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 07D1054422
  • Facility Name: LIFESPRING PEDIATRICS, LLC
  • Facility Address: 101 NORTH MAIN ST
    SOUTHINGTON, CT
    ZIP 06489
  • Facility Phone: 860 426-9440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN N. ONYIRIMBA, MD
  • NPI Number: 1033157722
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1054422
LAB Type Physician Office
Facility Name LIFESPRING PEDIATRICS, LLC
Street 101 NORTH MAIN ST
City SOUTHINGTON
State CT
ZIP 06489
Phone 860 426-9440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director MAUREEN N. ONYIRIMBA, MD

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