07D0998243 CLIA NUMBER - CONNECTICUT EYE SURGERY CENTER SOUTH LLC

Laboratory Demographics

CLIA Number: 07D0998243

Facility Name: CONNECTICUT EYE SURGERY CENTER SOUTH LLC

Facility Address:
60 WELLINGTON
MILFORD, CT
ZIP 06461
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Facility Phone Number: 203 878-2010

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689693970

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D0998243
LAB Type	Ambulatory Surgery Center
Facility Name	CONNECTICUT EYE SURGERY CENTER SOUTH LLC
Street	60 WELLINGTON
City	MILFORD
State	CT
ZIP	06461
Phone	203 878-2010
CertificateType	4
CertificateEffectiveDate	4/10/2024
CertificateExpirationDate	4/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024