07D2217344 CLIA NUMBER - MWL-WALLINGFORD LLC

Laboratory Demographics

  • CLIA Code: 07D2217344
  • Facility Name: MWL-WALLINGFORD LLC
  • Facility Address: 1243 SOUTH BROAD ST
    WALLINGFORD, CT
    ZIP 06492
  • Facility Phone: 203 446-4555
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROCHELLE COLLINS
  • NPI Number: 1346858867
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2217344
LAB Type Practitioner Other
Facility Name MWL-WALLINGFORD LLC
Street 1243 SOUTH BROAD ST
City WALLINGFORD
State CT
ZIP 06492
Phone 203 446-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Practitioner Other
Lab Director ROCHELLE COLLINS

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