CLIA lab
CLIA 07D0888513: 34 Wildwood Ave Opco LLC
Madison, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D0888513 belongs to 34 Wildwood Ave Opco LLC in Madison, CT.
Certificate of Waiver, effective July 8, 2026, expires July 7, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D0888513
- Lab name
- 34 Wildwood Ave Opco LLC
- Additional name
- Autumn Lake Healthcare at Madison
- Address
- 34 Wildwood Ave, Madison, CT 06443
- Phone
- (203) 245-8008
- Fax
- (203) 245-2107
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Autumn Lake Healthcare at MadisonCMS Care Compare ratings for the facility at the same street address
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- MHS Primary Care-MadisonCertificate of Waiver, Physician office07D0952946
- Madison Ambulance Association, Inc DBA Madison EMSCertificate of Waiver, Ambulance07D2123669
- Madison DPCCertificate of Waiver, Physician office07D2348602
Related
Questions
What is the CLIA number for 34 Wildwood Ave Opco LLC in Madison?
07D0888513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 34 Wildwood Ave Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D0888513 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.