07D0095833 CLIA NUMBER - BRUCE T BRENNAN MD

Laboratory Demographics

  • CLIA Code: 07D0095833
  • Facility Name: BRUCE T BRENNAN MD
  • Facility Address: 22 WESTFIELD AVE
    ANSONIA, CT
    ZIP 06401
  • Facility Phone: 203 734-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE T. BRENNAN MD
  • NPI Number: 1013927797
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0095833
LAB Type Physician Office
Facility Name BRUCE T BRENNAN MD
Street 22 WESTFIELD AVE
City ANSONIA
State CT
ZIP 06401
Phone 203 734-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BRUCE T. BRENNAN MD

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