CLIA lab
CLIA 07D0945744: Annette L Headley MD
Mystic, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D0945744 belongs to Annette L Headley MD in Mystic, CT.
Certificate for Provider-Performed Microscopy Procedures, effective October 2, 2024, expiration date October 1, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 2, 2024
- Certificate expiration
- October 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 8, 1998
- Facility type
- Physician office
- 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
- 07D0945744
- Lab name
- Annette L Headley MD
- Address
- 56 Whitehall Avenue, Mystic, CT 06355
- Phone
- (860) 536-1354
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.
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- Bal Mystic, LLCCertificate of Waiver, Assisted living facility07D2051700
- David Schwindt, MD, LLCCertificate of Waiver, Physician office07D1061991
- Mystic Fire DepartmentCertificate of Waiver, Other07D2114385
- Mystic Healthcare and Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility07D0709627
- Old Mystic Fire DepartmentCertificate of Waiver, Other07D2114176
- Pendleton Rehabilitation and Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility07D0678488
- Seaport Dermatology Mohs Surgery CenterCertificate of Compliance, Physician office07D1057164
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Related
Questions
What is the CLIA number for Annette L Headley MD in Mystic?
07D0945744, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Annette L Headley MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 07D0945744 expire?
The CMS file lists October 1, 2026 as the certificate expiration date; the certificate took effect October 2, 2024.