07D1064640 CLIA NUMBER - NORTH HAVEN SURGERY CENTER

Laboratory Demographics

CLIA Number: 07D1064640

Facility Name: NORTH HAVEN SURGERY CENTER

Facility Address:
52 WASHINGTON AVE, SUITE 1
NORTH HAVEN, CT
ZIP 06473
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Facility Phone Number: 203 234-7727

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1841231792

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024