07D0967046 CLIA NUMBER - NORWICH DIALYSIS

Laboratory Demographics

  • CLIA Code: 07D0967046
  • Facility Name: NORWICH DIALYSIS
  • Facility Address: 113 SALEM TURNPIKE
    NORWICH, CT
    ZIP 06360
  • Facility Phone: 860 887-1632
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS C. PETER
  • NPI Number: 1407833908
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 07D0967046
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORWICH DIALYSIS
Street 113 SALEM TURNPIKE
City NORWICH
State CT
ZIP 06360
Phone 860 887-1632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS C. PETER

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