07D0979695 CLIA NUMBER - MIDDLESEX HOSPITAL OPT CENTER/POCT

Laboratory Demographics

  • CLIA Code: 07D0979695
  • Facility Name: MIDDLESEX HOSPITAL OPT CENTER/POCT
  • Facility Address: 534 SAYBROOK ROAD
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 343-4680
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN D. LEVINE MD
  • NPI Number: 1720466832
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0979695
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MIDDLESEX HOSPITAL OPT CENTER/POCT
Street 534 SAYBROOK ROAD
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 343-4680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JONATHAN D. LEVINE MD

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