07D2115927 CLIA NUMBER - WILLIMANTIC FIRE DEPARTMENT / TOWN OF WINDHAM

Laboratory Demographics

  • CLIA Code: 07D2115927
  • Facility Name: WILLIMANTIC FIRE DEPARTMENT / TOWN OF WINDHAM
  • Facility Address: 13 BANK ST
    WILLIMANTIC, CT
    ZIP 06226
  • Facility Phone: 860 465-3120
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARC A. SCRIVENER
  • NPI Number: 1639715766
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 07D2115927
LAB Type Ambulance
Facility Name WILLIMANTIC FIRE DEPARTMENT / TOWN OF WINDHAM
Street 13 BANK ST
City WILLIMANTIC
State CT
ZIP 06226
Phone 860 465-3120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Ambulance
Lab Director MARC A. SCRIVENER

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