07D2014107 CLIA NUMBER - WILLARD AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 07D2014107
  • Facility Name: WILLARD AVENUE DIALYSIS
  • Facility Address: 445E WILLARD AVE BLDG 2
    NEWINGTON, CT
    ZIP 06111
  • Facility Phone: 860 667-1700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARIA A. EVERHART-CAYE MD
  • NPI Number: 1952616633
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2014107
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLARD AVENUE DIALYSIS
Street 445E WILLARD AVE BLDG 2
City NEWINGTON
State CT
ZIP 06111
Phone 860 667-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARIA A. EVERHART-CAYE MD

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