07D2102458 CLIA NUMBER - WEST HAVEN PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 07D2102458
  • Facility Name: WEST HAVEN PEDIATRICS, LLC
  • Facility Address: 367 ELM ST
    WEST HAVEN, CT
    ZIP 06516
  • Facility Phone: 203 932-3227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOBEY JACOB
  • NPI Number: 1578095634
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2102458
LAB Type Physician Office
Facility Name WEST HAVEN PEDIATRICS, LLC
Street 367 ELM ST
City WEST HAVEN
State CT
ZIP 06516
Phone 203 932-3227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director JOBEY JACOB

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