07D1025982 CLIA NUMBER - SHORELINE ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 07D1025982
  • Facility Name: SHORELINE ENDOSCOPY CENTER, LLC
  • Facility Address: 800 BOSTON POST RD, BLDG# 1
    GUILFORD, CT
    ZIP 06437
  • Facility Phone: 203 453-7100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MYRON BRAND
  • NPI Number: 1073621579
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D1025982
LAB Type Ambulatory Surgery Center
Facility Name SHORELINE ENDOSCOPY CENTER, LLC
Street 800 BOSTON POST RD, BLDG# 1
City GUILFORD
State CT
ZIP 06437
Phone 203 453-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Ambulatory Surgery Center
Lab Director MYRON BRAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025