07D2057181 CLIA NUMBER - PROJECT COURAGE

Laboratory Demographics

  • CLIA Code: 07D2057181
  • Facility Name: PROJECT COURAGE
  • Facility Address: 130 ELM ST
    OLD SAYBROOK, CT
    ZIP 06475
  • Facility Phone: 860 388-9656
  • Facility Type: Other - OUTPT ADDIC & MENTAL HEAL
  • Facility Type: Waiver
  • Lab Director: ANDREW BUCCARO
  • NPI Number: 1659716405
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2057181
LAB Type Other - OUTPT ADDIC & MENTAL HEAL
Facility Name PROJECT COURAGE
Street 130 ELM ST
City OLD SAYBROOK
State CT
ZIP 06475
Phone 860 388-9656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Other - OUTPT ADDIC & MENTAL HEAL
Lab Director ANDREW BUCCARO

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