07D1077275 CLIA NUMBER - RIVER VALLEY SERVICES LEAK HALL (CT DMHAS)

Laboratory Demographics

  • CLIA Code: 07D1077275
  • Facility Name: RIVER VALLEY SERVICES LEAK HALL (CT DMHAS)
  • Facility Address: 351 SILVER ST LEAK HALL
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 262-5202
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SARAH GADSBY
  • NPI Number: 1225334162
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 07D1077275
LAB Type Community Clinic
Facility Name RIVER VALLEY SERVICES LEAK HALL (CT DMHAS)
Street 351 SILVER ST LEAK HALL
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 262-5202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Community Clinic
Lab Director SARAH GADSBY

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