CLIA lab
CLIA 07D2048886: Park Avenue Medical, LLC
Wallingford, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2048886 belongs to Park Avenue Medical, LLC in Wallingford, CT.
Certificate of Waiver, effective October 25, 2024, expires October 24, 2026.
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
- October 25, 2024
- Certificate expiration
- October 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2012
- 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
- 07D2048886
- Lab name
- Park Avenue Medical, LLC
- Address
- 85 Barnes Rd, Suite 202, Wallingford, CT 06492
- Phone
- (203) 309-0070
- Fax
- (203) 309-0071
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Family Practice & Internal Medicine,llcCertificate of Waiver, Physician office07D0906824
- Gaylord HospitalCertificate of Waiver, Hospital07D0901347
Related
Questions
What is the CLIA number for Park Avenue Medical, LLC in Wallingford?
07D2048886, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Avenue Medical, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2048886 expire?
The CMS file lists October 24, 2026 as the certificate expiration date; the certificate took effect October 25, 2024.