07D2328662 CLIA NUMBER - PERSONIC CONNECTICUT PLLC

Laboratory Demographics

  • CLIA Code: 07D2328662
  • Facility Name: PERSONIC CONNECTICUT PLLC
  • Facility Address: ONE RESERVOIR CORPORATE CENTRE 4 RESEARCH DR, STE 402
    SHELTON, CT
    ZIP 06484
  • Facility Phone: 855 479-4217
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHKOLNIK IGOR
  • NPI Number: 1285529453
  • Taxonomy: 163WW0000X - Registered Nurse

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2328662
LAB Type Physician Office
Facility Name PERSONIC CONNECTICUT PLLC
Street ONE RESERVOIR CORPORATE CENTRE 4 RESEARCH DR, STE 402
City SHELTON
State CT
ZIP 06484
Phone 855 479-4217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director SHKOLNIK IGOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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