07D2104528 CLIA NUMBER - SHALVA CLINIC

Laboratory Demographics

  • CLIA Code: 07D2104528
  • Facility Name: SHALVA CLINIC
  • Facility Address: 8 LINCOLN ST
    WESTPORT, CT
    ZIP 06880
  • Facility Phone: 203 916-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN M. LEWIS
  • NPI Number: 1932550654
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 07D2104528
LAB Type Physician Office
Facility Name SHALVA CLINIC
Street 8 LINCOLN ST
City WESTPORT
State CT
ZIP 06880
Phone 203 916-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director ELLEN M. LEWIS

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