07D0092519 CLIA NUMBER - JOHN DEMPSEY HOSPITAL, UCONN HEALTH

Laboratory Demographics

  • CLIA Code: 07D0092519
  • Facility Name: JOHN DEMPSEY HOSPITAL, UCONN HEALTH
  • Facility Address: 263 FARMINGTON AVE DEPARTMENT OF LABORTORY MEDICINE MC2230
    FARMINGTON, CT
    ZIP 06030
  • Facility Phone: 860 679-3601
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ENRIQUE BALLESTEROS
  • NPI Number: 1649435900
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 07D0092519
LAB Type Hospital
Facility Name JOHN DEMPSEY HOSPITAL, UCONN HEALTH
Street 263 FARMINGTON AVE DEPARTMENT OF LABORTORY MEDICINE MC2230
City FARMINGTON
State CT
ZIP 06030
Phone 860 679-3601
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. ENRIQUE BALLESTEROS

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This page was last updated on: 9/29/2025