07D2075248 CLIA NUMBER - LEDGE LIGHT HEALTH DISTRICT

Laboratory Demographics

  • CLIA Code: 07D2075248
  • Facility Name: LEDGE LIGHT HEALTH DISTRICT
  • Facility Address: 216 BROAD ST
    NEW LONDON, CT
    ZIP 06320
  • Facility Phone: 860 448-4882
  • Facility Type: Other - LOCAL HEALTH DEPT
  • Facility Type: Waiver
  • Lab Director: STEPHEN MANSFIELD
  • NPI Number: 1902110323
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 07D2075248
LAB Type Other - LOCAL HEALTH DEPT
Facility Name LEDGE LIGHT HEALTH DISTRICT
Street 216 BROAD ST
City NEW LONDON
State CT
ZIP 06320
Phone 860 448-4882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Other - LOCAL HEALTH DEPT
Lab Director STEPHEN MANSFIELD

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