07D2029059 CLIA NUMBER - NEW HAVEN JOB CORPS

Laboratory Demographics

  • CLIA Code: 07D2029059
  • Facility Name: NEW HAVEN JOB CORPS
  • Facility Address: 455 WINTERGREEN AVENUES
    NEW HAVEN, CT
    ZIP 06515
  • Facility Phone: 203 907-4336
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: BESHOY BENYAMEN
  • NPI Number: 1073159372
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 07D2029059
LAB Type School/Student Health Service
Facility Name NEW HAVEN JOB CORPS
Street 455 WINTERGREEN AVENUES
City NEW HAVEN
State CT
ZIP 06515
Phone 203 907-4336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type School/Student Health Service
Lab Director BESHOY BENYAMEN

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