07D0962839 CLIA NUMBER - PDI-ROCKY HILL

Laboratory Demographics

  • CLIA Code: 07D0962839
  • Facility Name: PDI-ROCKY HILL
  • Facility Address: 30 WATERCHASE DRIVE
    ROCKY HILL, CT
    ZIP 06067
  • Facility Phone: 860 563-6000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW CARLEY MD
  • NPI Number: 1053387738
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0962839
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PDI-ROCKY HILL
Street 30 WATERCHASE DRIVE
City ROCKY HILL
State CT
ZIP 06067
Phone 860 563-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MATTHEW CARLEY MD

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