07D2307134 CLIA NUMBER - OAK STREET HEALTH-WATERBURY

Laboratory Demographics

  • CLIA Code: 07D2307134
  • Facility Name: OAK STREET HEALTH-WATERBURY
  • Facility Address: 2000 NORTH MAIN ST, STE A
    WATERBURY, CT
    ZIP 06704
  • Facility Phone: 844 808-8262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARISA GEFEN
  • NPI Number: 1093561136
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2307134
LAB Type Physician Office
Facility Name OAK STREET HEALTH-WATERBURY
Street 2000 NORTH MAIN ST, STE A
City WATERBURY
State CT
ZIP 06704
Phone 844 808-8262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director MARISA GEFEN

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