07D1068716 CLIA NUMBER - NAUGATUCK VALLEY CARDIOVASCULAR ASSOC

Laboratory Demographics

CLIA Number: 07D1068716

Facility Name: NAUGATUCK VALLEY CARDIOVASCULAR ASSOC

Facility Address:
1625 STRAITS TPKE 209
MIDDLEBURY, CT
ZIP 06762
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Facility Phone Number: 860 283-2880

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881721900

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	07D1068716
LAB Type	Physician Office
Facility Name	NAUGATUCK VALLEY CARDIOVASCULAR ASSOC
Street	1625 STRAITS TPKE 209
City	MIDDLEBURY
State	CT
ZIP	06762
Phone	860 283-2880
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

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