CLIA lab

CLIA 07D2166888: Manchester Pediatric Associates

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

CLIA number 07D2166888 belongs to Manchester Pediatric Associates in South Windsor, CT.

Certificate of Waiver, effective May 29, 2025, expires May 28, 2027.

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
May 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 29, 2019
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
07D2166888
Lab name
Manchester Pediatric Associates
Additional name
DBA Kids Station Pediatrics
Address
2701 Tamarack Ave, 1st Flr, South Windsor, CT 06074
Phone
(860) 647-8282
Fax
(860) 647-8399

Annual test volume the lab reported

Waived tests
1,000

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 Manchester Pediatric Associates in South Windsor?

07D2166888, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Manchester Pediatric Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 07D2166888 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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