07D2189562 CLIA NUMBER - BRANDYWINE LIVING AT LITCHFIELD

Laboratory Demographics

  • CLIA Code: 07D2189562
  • Facility Name: BRANDYWINE LIVING AT LITCHFIELD
  • Facility Address: 19 CONSTITUTION WAY
    LITCHFIELD, CT
    ZIP 06759
  • Facility Phone: (860) 567-9500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HOLLY BREAULT RN MSN
  • NPI Number: 1043334246
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2189562
LAB Type Assisted Living Facility
Facility Name BRANDYWINE LIVING AT LITCHFIELD
Street 19 CONSTITUTION WAY
City LITCHFIELD
State CT
ZIP 06759
Phone 8605679500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Assisted Living Facility
Lab Director HOLLY BREAULT RN MSN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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