CLIA lab
CLIA 07D1050923: David J Domenichini, MD
Bloomfield, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D1050923 belongs to David J Domenichini, MD in Bloomfield, CT.
Certificate of Waiver, effective February 15, 2026, expires February 14, 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
- February 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2006
- 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
- 07D1050923
- Lab name
- David J Domenichini, MD
- Address
- 701 Cottage Grove Rd Suite B220, Bloomfield, CT 06002
- Phone
- (860) 561-1007
- Fax
- (860) 561-1222
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for David J Domenichini, MD in Bloomfield?
07D1050923, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David J Domenichini, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D1050923 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.