07D2198545 CLIA NUMBER - MULBERRY GARDENS

Laboratory Demographics

  • CLIA Code: 07D2198545
  • Facility Name: MULBERRY GARDENS
  • Facility Address: 58 MULBERRY ST
    PLANTSVILLE, CT
    ZIP 06479
  • Facility Phone: 860 378-3904
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: INGRID S. KAUSYLA
  • NPI Number: 1972720076
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D2198545
LAB Type Assisted Living Facility
Facility Name MULBERRY GARDENS
Street 58 MULBERRY ST
City PLANTSVILLE
State CT
ZIP 06479
Phone 860 378-3904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Assisted Living Facility
Lab Director INGRID S. KAUSYLA

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