07D1064640 CLIA NUMBER - NORTH HAVEN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 07D1064640
  • Facility Name: NORTH HAVEN SURGERY CENTER
  • Facility Address: 52 WASHINGTON AVE, SUITE 1
    NORTH HAVEN, CT
    ZIP 06473
  • Facility Phone: 203 234-7727
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK THIMINEUR, MD
  • NPI Number: 1841231792
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D1064640
LAB Type Ambulatory Surgery Center
Facility Name NORTH HAVEN SURGERY CENTER
Street 52 WASHINGTON AVE, SUITE 1
City NORTH HAVEN
State CT
ZIP 06473
Phone 203 234-7727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Ambulatory Surgery Center
Lab Director MARK THIMINEUR, MD

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