07D2329110 CLIA NUMBER - BOOTH HOUSE PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 07D2329110
  • Facility Name: BOOTH HOUSE PRIMARY CARE, PLLC
  • Facility Address: 1 BOOTH HOUSE LANE, 1B
    NEW MILFORD, CT
    ZIP 06776
  • Facility Phone: 860 799-0146
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LORETTA J. PACE
  • NPI Number: 1053202242
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2329110
LAB Type Practitioner Other
Facility Name BOOTH HOUSE PRIMARY CARE, PLLC
Street 1 BOOTH HOUSE LANE, 1B
City NEW MILFORD
State CT
ZIP 06776
Phone 860 799-0146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Practitioner Other
Lab Director LORETTA J. PACE

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