07D0990047 CLIA NUMBER - CONSTITUTION EYE SURGERY CENTER EAST,LLC

Laboratory Demographics

  • CLIA Code: 07D0990047
  • Facility Name: CONSTITUTION EYE SURGERY CENTER EAST,LLC
  • Facility Address: 140 CROSS ROAD
    WATERFORD, CT
    ZIP 06385
  • Facility Phone: 860 665-0174
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KRIS M. MINEAU
  • NPI Number: 1710904537
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0990047
LAB Type Ambulatory Surgery Center
Facility Name CONSTITUTION EYE SURGERY CENTER EAST,LLC
Street 140 CROSS ROAD
City WATERFORD
State CT
ZIP 06385
Phone 860 665-0174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Ambulatory Surgery Center
Lab Director KRIS M. MINEAU

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