07D0099989 CLIA NUMBER - ALLIANCE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 07D0099989
  • Facility Name: ALLIANCE MEDICAL GROUP
  • Facility Address: 1211 W MAIN ST
    WATERBURY, CT
    ZIP 06708
  • Facility Phone: 203 756-6148
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. PIZZUTO MD
  • NPI Number: 1417989096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0099989
LAB Type Physician Office
Facility Name ALLIANCE MEDICAL GROUP
Street 1211 W MAIN ST
City WATERBURY
State CT
ZIP 06708
Phone 203 756-6148
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 DAVID J. PIZZUTO MD

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