07D1096439 CLIA NUMBER - BLACK ROCK PEDIATRICS PC ATTN-DIANE SATHER

Laboratory Demographics

  • CLIA Code: 07D1096439
  • Facility Name: BLACK ROCK PEDIATRICS PC ATTN-DIANE SATHER
  • Facility Address: 1817 BLACK ROCK TURNPIKE, SUITE 206
    FAIRFIELD, CT
    ZIP 06825
  • Facility Phone: 203 337-5333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIN R. COHEN MD
  • NPI Number: 1760629232
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1096439
LAB Type Physician Office
Facility Name BLACK ROCK PEDIATRICS PC ATTN-DIANE SATHER
Street 1817 BLACK ROCK TURNPIKE, SUITE 206
City FAIRFIELD
State CT
ZIP 06825
Phone 203 337-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director ELIN R. COHEN MD

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