07D2246142 CLIA NUMBER - CONNECTICUT COASTAL ACADEMY

Laboratory Demographics

  • CLIA Code: 07D2246142
  • Facility Name: CONNECTICUT COASTAL ACADEMY
  • Facility Address: 192 WESTBROOK RD, STE 1
    ESSEX, CT
    ZIP 06426
  • Facility Phone: 959 265-8175
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: PAMELA POTEMRI EDD
  • NPI Number: 1700207198
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 07D2246142
LAB Type School/Student Health Service
Facility Name CONNECTICUT COASTAL ACADEMY
Street 192 WESTBROOK RD, STE 1
City ESSEX
State CT
ZIP 06426
Phone 959 265-8175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type School/Student Health Service
Lab Director PAMELA POTEMRI EDD

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