07D2151955 CLIA NUMBER - HAWLEY LANE DIALYSIS

Laboratory Demographics

  • CLIA Code: 07D2151955
  • Facility Name: HAWLEY LANE DIALYSIS
  • Facility Address: 425 HAWLEY LN
    STRATFORD, CT
    ZIP 06614
  • Facility Phone: 203 375-5438
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES P. GAVIN
  • NPI Number: 1255839494
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2151955
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HAWLEY LANE DIALYSIS
Street 425 HAWLEY LN
City STRATFORD
State CT
ZIP 06614
Phone 203 375-5438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES P. GAVIN

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