07D2068513 CLIA NUMBER - BAKER PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 07D2068513
  • Facility Name: BAKER PEDIATRICS, LLC
  • Facility Address: 4141 MADISON AVE
    TRUMBULL, CT
    ZIP 06611
  • Facility Phone: 203 371-8790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL L. MALONEY
  • NPI Number: 1760238489
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2068513
LAB Type Physician Office
Facility Name BAKER PEDIATRICS, LLC
Street 4141 MADISON AVE
City TRUMBULL
State CT
ZIP 06611
Phone 203 371-8790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director CHERYL L. MALONEY

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