07D2241639 CLIA NUMBER - MIDSTATE MEDICAL CENTER DEPARTMENT OF PATHOLOGY & LABORATORY

Laboratory Demographics

  • CLIA Code: 07D2241639
  • Facility Name: MIDSTATE MEDICAL CENTER DEPARTMENT OF PATHOLOGY & LABORATORY
  • Facility Address: 435 LEWIS AVE
    MERIDEN, CT
    ZIP 06451
  • Facility Phone: (203) 694-8452
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JONATHAN S. EARLE
  • NPI Number: 1154425288
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 07D2241639
LAB Type Hospital
Facility Name MIDSTATE MEDICAL CENTER DEPARTMENT OF PATHOLOGY & LABORATORY
Street 435 LEWIS AVE
City MERIDEN
State CT
ZIP 06451
Phone 2036948452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2025
Certificate Expiration Date 10/31/2027
Facility Type Hospital
Lab Director JONATHAN S. EARLE

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This page was last updated on: 5/18/2026