07D2122538 CLIA NUMBER - NEW HAVEN COMMUNITY CORRECTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 07D2122538
  • Facility Name: NEW HAVEN COMMUNITY CORRECTIONAL CENTER
  • Facility Address: 245 WHALLEY AVE
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 974-4138
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SHARONDA CARLOS
  • NPI Number: 1336518034
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2122538
LAB Type Prison
Facility Name NEW HAVEN COMMUNITY CORRECTIONAL CENTER
Street 245 WHALLEY AVE
City NEW HAVEN
State CT
ZIP 06511
Phone 203 974-4138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Prison
Lab Director SHARONDA CARLOS

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