07D2216563 CLIA NUMBER - DISCOVERY PRACTICE MANAGEMENT, INC

Laboratory Demographics

CLIA Code: 07D2216563
Facility Name: DISCOVERY PRACTICE MANAGEMENT, INC
Facility Address: 615 MINE HILL RD
FAIRFIELD, CT
ZIP 06824
Facility Phone: 714 496-4476
Facility Type: Other - RESIDENTIAL TREATMENT
Facility Type: Waiver
Lab Director: MARIA TORRES
NPI Number: 1083095442
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	07D2216563
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	DISCOVERY PRACTICE MANAGEMENT, INC
Street	615 MINE HILL RD
City	FAIRFIELD
State	CT
ZIP	06824
Phone	714 496-4476
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/15/2025
Certificate Expiration Date	3/14/2027
Facility Type	Other - RESIDENTIAL TREATMENT
Lab Director	MARIA TORRES

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