07D2102593 CLIA NUMBER - MICHAEL L SHEA, OD

Laboratory Demographics

  • CLIA Code: 07D2102593
  • Facility Name: MICHAEL L SHEA, OD
  • Facility Address: 379 PROSPECT ST, SUITE B
    TORRINGTON, CT
    ZIP 06790
  • Facility Phone: 860 489-2781
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. SHEA OD
  • NPI Number: 1194125070
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 07D2102593
LAB Type Practitioner Other
Facility Name MICHAEL L SHEA, OD
Street 379 PROSPECT ST, SUITE B
City TORRINGTON
State CT
ZIP 06790
Phone 860 489-2781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Practitioner Other
Lab Director MICHAEL L. SHEA OD

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