CLIA lab
CLIA 07D2111006: Stop & Shop #624
Madison, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2111006 belongs to Stop & Shop #624 in Madison, CT.
Certificate of Waiver, effective March 29, 2026, expires March 28, 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 29, 2026
- Certificate expiration
- March 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2016
- Facility type
- Pharmacy
- 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
- 07D2111006
- Lab name
- Stop & Shop #624
- Address
- 136 Samson Rock Dr, Madison, CT 06443
- Phone
- (203) 245-7467
- Fax
- (844) 411-6438
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.
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- Madison Ambulance Association, Inc DBA Madison EMSCertificate of Waiver, Ambulance07D2123669
Related
Questions
What is the CLIA number for Stop & Shop #624 in Madison?
07D2111006, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stop & Shop #624 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2111006 expire?
The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.