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07D1077431 CLIA NUMBER - ALLIANCE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 07D1077431

Facility Name: ALLIANCE MEDICAL GROUP

Facility Address:
10 NORTH BENSON ROAD
MIDDLEBURY, CT
ZIP 06762
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Facility Phone Number: 203 758-1316

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1316273071

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 07D1077431
LAB Type Physician Office
Facility Name ALLIANCE MEDICAL GROUP
Street 10 NORTH BENSON ROAD
City MIDDLEBURY
State CT
ZIP 06762
Phone 203 758-1316
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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