07D0707295 CLIA NUMBER - CONNECTICUT ONCOLOGY GROUP, PC

Laboratory Demographics

CLIA Number: 07D0707295

Facility Name: CONNECTICUT ONCOLOGY GROUP, PC

Facility Address:
536 SAYBROOK RD
MIDDLETOWN, CT
ZIP 06457
Get Directions

Facility Phone Number: 860 358-2220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376533588

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	07D0707295
LAB Type	Physician Office
Facility Name	CONNECTICUT ONCOLOGY GROUP, PC
Street	536 SAYBROOK RD
City	MIDDLETOWN
State	CT
ZIP	06457
Phone	860 358-2220
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024