07D2014106 CLIA NUMBER - PEDIATRIC SPECIALTY CENTER AT LONG WHARF

Laboratory Demographics

  • CLIA Code: 07D2014106
  • Facility Name: PEDIATRIC SPECIALTY CENTER AT LONG WHARF
  • Facility Address: 1 LONG WHARF DRIVE
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 688-7888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALDA TUFRO
  • NPI Number: 1740334002
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 07D2014106
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALTY CENTER AT LONG WHARF
Street 1 LONG WHARF DRIVE
City NEW HAVEN
State CT
ZIP 06511
Phone 203 688-7888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director ALDA TUFRO

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