07D0685481 CLIA NUMBER - LAWRENCE J FORTIER, MD COSMETIC LASER AND SKIN CARE CENTER

Laboratory Demographics

  • CLIA Code: 07D0685481
  • Facility Name: LAWRENCE J FORTIER, MD COSMETIC LASER AND SKIN CARE CENTER
  • Facility Address: 465 SILAS DEANE HIGHWAY
    WETHERSFIELD, CT
    ZIP 06109
  • Facility Phone: 860 529-2500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: LAWRENCE J. FORTIER MD
  • NPI Number: 1972592822
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D0685481
LAB Type Ambulatory Surgery Center
Facility Name LAWRENCE J FORTIER, MD COSMETIC LASER AND SKIN CARE CENTER
Street 465 SILAS DEANE HIGHWAY
City WETHERSFIELD
State CT
ZIP 06109
Phone 860 529-2500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Ambulatory Surgery Center
Lab Director LAWRENCE J. FORTIER MD

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