07D2151640 CLIA NUMBER - ROCKWELL PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 07D2151640
  • Facility Name: ROCKWELL PEDIATRICS, PLLC
  • Facility Address: 2355 BLACK ROCK TPKE
    FAIRFIELD, CT
    ZIP 06825
  • Facility Phone: (203) 612-4556
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDA A. LAWSON
  • NPI Number: 1457842007
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2151640
LAB Type Practitioner Other
Facility Name ROCKWELL PEDIATRICS, PLLC
Street 2355 BLACK ROCK TPKE
City FAIRFIELD
State CT
ZIP 06825
Phone 2036124556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Practitioner Other
Lab Director LINDA A. LAWSON

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This page was last updated on: 5/15/2026