07D1071342 CLIA NUMBER - LIBERATION PROGRAMS INC C/O MARLENE BENT, MHA

Laboratory Demographics

  • CLIA Code: 07D1071342
  • Facility Name: LIBERATION PROGRAMS INC C/O MARLENE BENT, MHA
  • Facility Address: 399 MILL HILL AVE
    BRIDGEPORT, CT
    ZIP 06610
  • Facility Phone: 203 356-1980
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CLIVE JOHNSON
  • NPI Number: 1942323571
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 07D1071342
LAB Type Comp. Outpatient Rehab Facility
Facility Name LIBERATION PROGRAMS INC C/O MARLENE BENT, MHA
Street 399 MILL HILL AVE
City BRIDGEPORT
State CT
ZIP 06610
Phone 203 356-1980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director CLIVE JOHNSON

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