07D2151076 CLIA NUMBER - ELLINGTON ASSISTED LIVING SERVICES,LLC

Laboratory Demographics

  • CLIA Code: 07D2151076
  • Facility Name: ELLINGTON ASSISTED LIVING SERVICES,LLC
  • Facility Address: 123 WEST RD
    ELLINGTON, CT
    ZIP 06029
  • Facility Phone: 860 926-0222
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN MUCCINO
  • NPI Number: 1659369932
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 07D2151076
LAB Type Assisted Living Facility
Facility Name ELLINGTON ASSISTED LIVING SERVICES,LLC
Street 123 WEST RD
City ELLINGTON
State CT
ZIP 06029
Phone 860 926-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Assisted Living Facility
Lab Director LAUREN MUCCINO

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