CLIA lab

CLIA 07D2089462: Residence at South Windsor Farms, the

South Windsor, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 07D2089462 belongs to Residence at South Windsor Farms, the in South Windsor, CT.

Certificate of Waiver, effective December 31, 2024, expires December 30, 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
December 31, 2024
Certificate expiration
December 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 2014
Facility type
Assisted living facility
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
07D2089462
Lab name
Residence at South Windsor Farms, the
Additional name
Attn-Maryla Underwood, RN
Address
200 Deming St, South Windsor, CT 06074
Phone
(860) 432-2911
Fax
(860) 432-2279

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in South Windsor, CT

Related

Questions

What is the CLIA number for Residence at South Windsor Farms, the in South Windsor?

07D2089462, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Residence at South Windsor Farms, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 07D2089462 expire?

The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.

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