07D2286719 CLIA NUMBER - MILFORD HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 07D2286719

Facility Name: MILFORD HEALTH DEPARTMENT

Facility Address:
82 NEW HAVEN AVE
MILFORD, CT
ZIP 06460
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Facility Phone Number: 203 783-3285

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1437842481

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 07D2286719
LAB Type Community Clinic
Facility Name MILFORD HEALTH DEPARTMENT
Street 82 NEW HAVEN AVE
City MILFORD
State CT
ZIP 06460
Phone 203 783-3285
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

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