07D1060902 CLIA NUMBER - WINDHAM DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 07D1060902
  • Facility Name: WINDHAM DIALYSIS CENTER
  • Facility Address: 375 TUCKIE ROAD SUITE C
    NORTH WINDHAM, CT
    ZIP 06256
  • Facility Phone: 860 456-1677
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CLAUDIO MILITE
  • NPI Number: 1295776656
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D1060902
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WINDHAM DIALYSIS CENTER
Street 375 TUCKIE ROAD SUITE C
City NORTH WINDHAM
State CT
ZIP 06256
Phone 860 456-1677
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 CLAUDIO MILITE

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