07D0974307 CLIA NUMBER - CONNECTICUT GI ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 07D0974307
  • Facility Name: CONNECTICUT GI ENDOSCOPY CENTER LLC
  • Facility Address: 10 JOLLEY DR STE 101
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: (860) 242-0079
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH CAPPA
  • NPI Number: 1063593952
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0974307
LAB Type Ambulatory Surgery Center
Facility Name CONNECTICUT GI ENDOSCOPY CENTER LLC
Street 10 JOLLEY DR STE 101
City BLOOMFIELD
State CT
ZIP 06002
Phone 8602420079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2026
Certificate Expiration Date 6/1/2028
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH CAPPA

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