07D0665557 CLIA NUMBER - DANBURY SURGICAL CENTER, LP D/B/A-SURGICAL CENTER OF RIDGEFIELD

Laboratory Demographics

  • CLIA Code: 07D0665557
  • Facility Name: DANBURY SURGICAL CENTER, LP D/B/A-SURGICAL CENTER OF RIDGEFIELD
  • Facility Address: 901 ETHAN ALLEN HWY, SUITE 105
    RIDGEFIELD, CT
    ZIP 06877
  • Facility Phone: 203 743-2400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROGER MARCON MD
  • NPI Number: 1558327338
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0665557
LAB Type Ambulatory Surgery Center
Facility Name DANBURY SURGICAL CENTER, LP D/B/A-SURGICAL CENTER OF RIDGEFIELD
Street 901 ETHAN ALLEN HWY, SUITE 105
City RIDGEFIELD
State CT
ZIP 06877
Phone 203 743-2400
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 Ambulatory Surgery Center
Lab Director ROGER MARCON MD

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