07D2253455 CLIA NUMBER - HEALTHY CHILDREN PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 07D2253455
  • Facility Name: HEALTHY CHILDREN PEDIATRICS, LLC
  • Facility Address: 1655 STRAITS TPKE
    MIDDLEBURY, CT
    ZIP 06762
  • Facility Phone: 475 444-2346
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EZZAT HAFEZ
  • NPI Number: 1710639455
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2253455
LAB Type Physician Office
Facility Name HEALTHY CHILDREN PEDIATRICS, LLC
Street 1655 STRAITS TPKE
City MIDDLEBURY
State CT
ZIP 06762
Phone 475 444-2346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director EZZAT HAFEZ

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