CLIA lab
CLIA 07D1096439: Black Rock Pediatrics PC
Fairfield, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D1096439 belongs to Black Rock Pediatrics PC in Fairfield, CT.
Certificate of Waiver, effective December 13, 2025, expires December 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2009
- 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
- 07D1096439
- Lab name
- Black Rock Pediatrics PC
- Additional name
- Attn-Diane Sather
- Address
- 1817 Black Rock Turnpike, Suite 206, Fairfield, CT 06825
- Phone
- (203) 337-5333
- Fax
- (203) 557-5360
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairfield, CT
- Adam J Bard, MDCertificate of Waiver, Physician office07D1055407
- Advanced Cardiovascular Specialists, PCCertificate of Waiver, Physician office07D2216077
- Advanced Radiology PartnersCertificate of Waiver, Other07D2296054
- Afc Urgent CareCertificate of Waiver, Physician office07D2102440
- BSL Opco Sturges Ridge, LLCCertificate of Waiver, Assisted living facility07D2153931
- Black Rock DialysisCertificate of Waiver, End stage renal disease dialysis facility07D1086403
- Cambridge Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility07D0700620
- Carolton Chronic and Convalescent Hospital, theCertificate of Waiver, Skilled nursing or nursing facility07D0693479
- Center for Discovery - FairfieldCertificate of Waiver, Other07D2094724
- Center for Discovery, WellingtonCertificate of Waiver, Other07D2129399
Related
Questions
What is the CLIA number for Black Rock Pediatrics PC in Fairfield?
07D1096439, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Rock Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D1096439 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.