07D1074425 CLIA NUMBER - MC DIAGNOSTIC OF CONNECTICUT, PC #718

Laboratory Demographics

CLIA Number: 07D1074425

Facility Name: MC DIAGNOSTIC OF CONNECTICUT, PC #718

Facility Address:
24-36 PERSHING DR
ANSONIA, CT
ZIP 06401
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Facility Phone Number: (866) 389-2727

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1386821932

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	07D1074425
LAB Type	OTHER
Facility Name	MC DIAGNOSTIC OF CONNECTICUT, PC #718
Street	24-36 PERSHING DR
City	ANSONIA
State	CT
ZIP	06401
Phone	(866) 389-2727

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This page was last updated on: 5/11/2023