07D0695738 CLIA NUMBER - SOUTHEASTERN CT NEPHROLOGY ASSOC PC

Laboratory Demographics

  • CLIA Code: 07D0695738
  • Facility Name: SOUTHEASTERN CT NEPHROLOGY ASSOC PC
  • Facility Address: 88 NORWICH-NEW LONDON TPKE, SUITE 2
    UNCASVILLE, CT
    ZIP 06382
  • Facility Phone: (860) 447-8556
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAY M. GINSBERG MD
  • NPI Number: 1619031796
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0695738
LAB Type Physician Office
Facility Name SOUTHEASTERN CT NEPHROLOGY ASSOC PC
Street 88 NORWICH-NEW LONDON TPKE, SUITE 2
City UNCASVILLE
State CT
ZIP 06382
Phone 8604478556
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 5/1/2026
Certificate Expiration Date 4/30/2028
Facility Type Physician Office
Lab Director JAY M. GINSBERG MD

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This page was last updated on: 5/18/2026