07D2064239 CLIA NUMBER - PEDIATRIC PARTNERS, LLC

Laboratory Demographics

  • CLIA Code: 07D2064239
  • Facility Name: PEDIATRIC PARTNERS, LLC
  • Facility Address: 705 BLOOMFIELD AVE SUITE 101
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: (860) 286-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANICE M. LOPEZ
  • NPI Number: 1568805059
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2064239
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS, LLC
Street 705 BLOOMFIELD AVE SUITE 101
City BLOOMFIELD
State CT
ZIP 06002
Phone 8602860444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director JANICE M. LOPEZ

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This page was last updated on: 5/18/2026