07D2051066 CLIA NUMBER - STRATFORD HEALTH DEPARTMENT WELL CHILD CLINIC

Laboratory Demographics

  • CLIA Code: 07D2051066
  • Facility Name: STRATFORD HEALTH DEPARTMENT WELL CHILD CLINIC
  • Facility Address: STRATFORD HEALTH DEPARTMENT 468 BIRDSEYE ST
    STRATFORD, CT
    ZIP 06615
  • Facility Phone: 203 385-4090
  • Facility Type: Other - WELL CHILD CLINIC
  • Facility Type: Waiver
  • Lab Director: ANDREA L. BOISSEVAIN
  • NPI Number: 1851695837
  • Taxonomy: 106H00000X - Marriage & Family Therapist

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CLIA Record

Field Name Field Value
CLIA Number 07D2051066
LAB Type Other - WELL CHILD CLINIC
Facility Name STRATFORD HEALTH DEPARTMENT WELL CHILD CLINIC
Street STRATFORD HEALTH DEPARTMENT 468 BIRDSEYE ST
City STRATFORD
State CT
ZIP 06615
Phone 203 385-4090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Other - WELL CHILD CLINIC
Lab Director ANDREA L. BOISSEVAIN

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