07D2206455 CLIA NUMBER - LAFAYETTE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 07D2206455
  • Facility Name: LAFAYETTE PEDIATRICS LLC
  • Facility Address: 36 LAFAYETTE ST
    NORWICH, CT
    ZIP 06360
  • Facility Phone: 860 885-0666
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RACHEL M. JADCZAK
  • NPI Number: 1598351421
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 07D2206455
LAB Type Practitioner Other
Facility Name LAFAYETTE PEDIATRICS LLC
Street 36 LAFAYETTE ST
City NORWICH
State CT
ZIP 06360
Phone 860 885-0666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Practitioner Other
Lab Director RACHEL M. JADCZAK

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