07D1036410 CLIA NUMBER - MIDDLESEX ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 07D1036410
  • Facility Name: MIDDLESEX ENDOSCOPY CENTER, LLC
  • Facility Address: 410 SAYBROOK ROAD, SUITE 200
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 343-1240
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGOR J. KOOBATIAN
  • NPI Number: 1972522985
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D1036410
LAB Type Ambulatory Surgery Center
Facility Name MIDDLESEX ENDOSCOPY CENTER, LLC
Street 410 SAYBROOK ROAD, SUITE 200
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 343-1240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Ambulatory Surgery Center
Lab Director GREGOR J. KOOBATIAN

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