07D2113906 CLIA NUMBER - BANTAM FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 07D2113906
  • Facility Name: BANTAM FIRE COMPANY
  • Facility Address: 92 DOYLE RD
    BANTAM, CT
    ZIP 06750
  • Facility Phone: 860 567-5198
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TROY C. COROLLA
  • NPI Number: 1255729349
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 07D2113906
LAB Type Ambulance
Facility Name BANTAM FIRE COMPANY
Street 92 DOYLE RD
City BANTAM
State CT
ZIP 06750
Phone 860 567-5198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Ambulance
Lab Director TROY C. COROLLA

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