07D2232100 CLIA NUMBER - MIDDLETOWN HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 07D2232100
  • Facility Name: MIDDLETOWN HEALTH DEPARTMENT
  • Facility Address: 245 DEKOVEN DR
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 638-4972
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: KEVIN ELAK
  • NPI Number: 1164086609
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2232100
LAB Type Public Health Laboratories
Facility Name MIDDLETOWN HEALTH DEPARTMENT
Street 245 DEKOVEN DR
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 638-4972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Public Health Laboratories
Lab Director KEVIN ELAK

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