07D2150265 CLIA NUMBER - SHELTON PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 07D2150265
  • Facility Name: SHELTON PEDIATRICS, PLLC
  • Facility Address: 2 TRAP FALLS RD, STE 101
    SHELTON, CT
    ZIP 06484
  • Facility Phone: 203 405-2591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FADI M. HAMMOUD
  • NPI Number: 1922597830
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2150265
LAB Type Physician Office
Facility Name SHELTON PEDIATRICS, PLLC
Street 2 TRAP FALLS RD, STE 101
City SHELTON
State CT
ZIP 06484
Phone 203 405-2591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director FADI M. HAMMOUD

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