07D0974209 CLIA NUMBER - MIDDLESEX DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 07D0974209
  • Facility Name: MIDDLESEX DIALYSIS CENTER
  • Facility Address: 100 MAIN ST STE 1
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 346-5600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID J. MINER
  • NPI Number: 1386610053
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0974209
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MIDDLESEX DIALYSIS CENTER
Street 100 MAIN ST STE 1
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 346-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID J. MINER

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