07D2312407 CLIA NUMBER - WATERVIEW CLINICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 07D2312407
  • Facility Name: WATERVIEW CLINICAL SERVICES LLC
  • Facility Address: 300 CHURCH STREET, SUITE 302
    WALLINGFORD, CT
    ZIP 06492
  • Facility Phone: 203 421-6829
  • Facility Type: Other - MENTAL HEALTH IOP
  • Facility Type: Waiver
  • Lab Director: JILLIAN L. GRIFFIN
  • NPI Number: 1437918497
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2312407
LAB Type Other - MENTAL HEALTH IOP
Facility Name WATERVIEW CLINICAL SERVICES LLC
Street 300 CHURCH STREET, SUITE 302
City WALLINGFORD
State CT
ZIP 06492
Phone 203 421-6829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Other - MENTAL HEALTH IOP
Lab Director JILLIAN L. GRIFFIN

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