07D2045388 CLIA NUMBER - CENTER FOR DISCOVERY AND ADOLESCENT CHANGE, THE

Laboratory Demographics

  • CLIA Code: 07D2045388
  • Facility Name: CENTER FOR DISCOVERY AND ADOLESCENT CHANGE, THE
  • Facility Address: 1320 MILL HILL RD
    SOUTHPORT, CT
    ZIP 06890
  • Facility Phone: 714 733-6056
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. MARCIE SCHNEIDER
  • NPI Number: 1548700016
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D2045388
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name CENTER FOR DISCOVERY AND ADOLESCENT CHANGE, THE
Street 1320 MILL HILL RD
City SOUTHPORT
State CT
ZIP 06890
Phone 714 733-6056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director DR. MARCIE SCHNEIDER

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