07D1060901 CLIA NUMBER - VERNON DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 07D1060901
  • Facility Name: VERNON DIALYSIS CENTER
  • Facility Address: 460 HARTFORD TURNPIKE
    VERNON, CT
    ZIP 06066
  • Facility Phone: 860 896-4896
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANGELITO C. BACAY, MD
  • NPI Number: 1942244363
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D1060901
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VERNON DIALYSIS CENTER
Street 460 HARTFORD TURNPIKE
City VERNON
State CT
ZIP 06066
Phone 860 896-4896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANGELITO C. BACAY, MD

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: 9/29/2025