CLIA lab
CLIA 07D0962413: East Lyme Pediatric Clinic
Niantic, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D0962413 belongs to East Lyme Pediatric Clinic in Niantic, CT.
Certificate of Waiver, effective July 2, 2025, expires July 1, 2027.
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 2, 2025
- Certificate expiration
- July 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 1999
- 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
- 07D0962413
- Lab name
- East Lyme Pediatric Clinic
- Address
- 170 Flanders Road #32, Niantic, CT 06357
- Phone
- (860) 739-7444
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 Niantic, LLCCertificate of Waiver, Assisted living facility07D1056944
- Bride Brook Rehabilitation and Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility07D0672488
- East Lyme Ambulance Fund, IncCertificate of Waiver, Ambulance07D2113889
- Guardian Health Center, PACertificate of Waiver, Physician office07D2309847
- Robert P Goldberg MDCertificate for Provider-Performed Microscopy Procedures, Physician office07D0678961
- Stop & Shop Pharmacy # 665Certificate of Waiver, Pharmacy07D2125915
- York Correctional InstitutionCertificate for Provider-Performed Microscopy Procedures, Prison07D2107455
Related
Questions
What is the CLIA number for East Lyme Pediatric Clinic in Niantic?
07D0962413, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Lyme Pediatric Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D0962413 expire?
The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.