CLIA lab
CLIA 07D2114176: Old Mystic Fire Department
Mystic, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2114176 belongs to Old Mystic Fire Department in Mystic, CT.
Certificate of Waiver, effective June 8, 2026, expires June 7, 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
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
- June 8, 2026
- Certificate expiration
- June 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 8, 2016
- Facility type
- Other
- Ownership (control type)
- Government, other
- 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
- 07D2114176
- Lab name
- Old Mystic Fire Department
- Address
- 295 Cow Hill Rd, Mystic, CT 06355
- Phone
- (860) 536-3432
- Fax
- (860) 536-7811
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mystic, CT
- Annette L Headley MDCertificate for Provider-Performed Microscopy Procedures, Physician office07D0945744
- Apple Rehab MysticCertificate of Waiver, Skilled nursing or nursing facility07D0095514
- Avalon Health Care Center at StoneridgeCertificate of Waiver, Skilled nursing or nursing facility07D1030676
- Bal Mystic, LLCCertificate of Waiver, Assisted living facility07D2051700
- David Schwindt, MD, LLCCertificate of Waiver, Physician office07D1061991
- Mystic Fire DepartmentCertificate of Waiver, Other07D2114385
- Mystic Healthcare and Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility07D0709627
- Pendleton Rehabilitation and Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility07D0678488
- Seaport Dermatology Mohs Surgery CenterCertificate of Compliance, Physician office07D1057164
- Senior Living By MasonicareCertificate of Waiver, Assisted living facility07D2211035
Related
Questions
What is the CLIA number for Old Mystic Fire Department in Mystic?
07D2114176, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old Mystic Fire Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2114176 expire?
The CMS file lists June 7, 2028 as the certificate expiration date; the certificate took effect June 8, 2026.