07D2229605 CLIA NUMBER - HOUSATONIC VALLEY HEALTH DISTRICT

Laboratory Demographics

CLIA Number: 07D2229605

Facility Name: HOUSATONIC VALLEY HEALTH DISTRICT

Facility Address:
2 PICKETT DISTRICT RD
NEW MILFORD, CT
ZIP 06776
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Facility Phone Number: 860 355-6035

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1417143504

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D2229605
LAB Type	Community Clinic
Facility Name	HOUSATONIC VALLEY HEALTH DISTRICT
Street	2 PICKETT DISTRICT RD
City	NEW MILFORD
State	CT
ZIP	06776
Phone	860 355-6035
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024