07D2091766 CLIA NUMBER - HOUSATONIC DIALYSIS

Laboratory Demographics

  • CLIA Code: 07D2091766
  • Facility Name: HOUSATONIC DIALYSIS
  • Facility Address: 164 MOUNT PLEASANT RD
    NEWTOWN, CT
    ZIP 06470
  • Facility Phone: 860 749-0476
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAYMOND RAUT
  • NPI Number: 1417345828
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2091766
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOUSATONIC DIALYSIS
Street 164 MOUNT PLEASANT RD
City NEWTOWN
State CT
ZIP 06470
Phone 860 749-0476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAYMOND RAUT

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