07D2173765 CLIA NUMBER - CONNECTICUT CHILDREN'S - ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 07D2173765
  • Facility Name: CONNECTICUT CHILDREN'S - ENDOCRINOLOGY
  • Facility Address: 505 FARMINGTON AVE, ROOM 206, POINT OF CARE - A
    FARMINGTON, CT
    ZIP 06032
  • Facility Phone: 860 545-8124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY MAKOWSKI
  • NPI Number: 1518940204
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 07D2173765
LAB Type Physician Office
Facility Name CONNECTICUT CHILDREN'S - ENDOCRINOLOGY
Street 505 FARMINGTON AVE, ROOM 206, POINT OF CARE - A
City FARMINGTON
State CT
ZIP 06032
Phone 860 545-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director GREGORY MAKOWSKI

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