CLIA lab

CLIA 07D2321764: Pediatric and Adolescent Medicine

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

CLIA number 07D2321764 belongs to Pediatric and Adolescent Medicine in Simsbury, CT.

Certificate of Waiver, effective April 9, 2025, expires April 8, 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
April 9, 2025
Certificate expiration
April 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 9, 2025
Facility type
Physician office
Ownership (control type)
Proprietary
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
07D2321764
Lab name
Pediatric and Adolescent Medicine
Address
573 Hopmeadow Street, Simsbury, CT 06070
Phone
(860) 658-1058
Fax
(860) 658-1819

Annual test volume the lab reported

Waived tests
800

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

Affiliated CLIA numbers

Other labs in Simsbury, CT

Related

Questions

What is the CLIA number for Pediatric and Adolescent Medicine in Simsbury?

07D2321764, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric and Adolescent Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 07D2321764 expire?

The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.

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