CLIA lab
CLIA 07D2109868: Park Avenue Medical Center
Trumbull, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2109868 belongs to Park Avenue Medical Center in Trumbull, CT.
Certificate of Waiver, effective March 3, 2026, expires March 2, 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
- March 3, 2026
- Certificate expiration
- March 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 2016
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2109868
- Lab name
- Park Avenue Medical Center
- Additional name
- Ambulatory Surgery
- Address
- 5520 Park Ave, Ste 2-323, Trumbull, CT 06611
- Phone
- (203) 384-3053
- Fax
- (203) 384-4218
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Trumbull, CT
- Adult & Pediatric Dermatology Specialists, PCCertificate of Compliance, Physician office07D0883635
- Advanced Radiology PartnersCertificate of Waiver, Other07D2345607
- Amber Dermatology, PLLCCertificate of Waiver, Physician office07D2347311
- Baker Pediatrics, LLCCertificate of Waiver, Physician office07D2068513
- Bal Trumbull, LLCCertificate of Waiver, Assisted living facility07D0978202
- Bridgeport Hospital Laboratory AnnexCertificate of Compliance, Ancillary test site07D1103993
- CT Optimal Wellness, LLCCertificate of Waiver, Physician office07D2161481
- Connecticut Gi, PCCertificate of Waiver, Physician office07D2266775
- Connecticut Home Health Care IncCertificate of Waiver, Home health agency07D0723390
- Illume FertilityCertificate of Compliance, Physician office07D2051651
Related
Questions
What is the CLIA number for Park Avenue Medical Center in Trumbull?
07D2109868, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Avenue Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2109868 expire?
The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.