07D0092881 CLIA NUMBER - PROSPECT CT MEDICAL FOUNDATION, INC -NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 07D0092881
  • Facility Name: PROSPECT CT MEDICAL FOUNDATION, INC -NEPHROLOGY
  • Facility Address: 281 HARTFORD TPKE SUITE 210
    VERNON, CT
    ZIP 06066
  • Facility Phone: 860 872-8563
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLAUDIO MILITE
  • NPI Number: 1235279787
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 07D0092881
LAB Type Physician Office
Facility Name PROSPECT CT MEDICAL FOUNDATION, INC -NEPHROLOGY
Street 281 HARTFORD TPKE SUITE 210
City VERNON
State CT
ZIP 06066
Phone 860 872-8563
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CLAUDIO MILITE

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