07D1093292 CLIA NUMBER - GLASTONBURY ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 07D1093292
  • Facility Name: GLASTONBURY ENDOSCOPY CENTER LLC
  • Facility Address: 300 WESTERN BLVD, SUITE # B
    GLASTONBURY, CT
    ZIP 06033
  • Facility Phone: 714 843-5997
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY NESTLER MD
  • NPI Number: 1659525020
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D1093292
LAB Type Ambulatory Surgery Center
Facility Name GLASTONBURY ENDOSCOPY CENTER LLC
Street 300 WESTERN BLVD, SUITE # B
City GLASTONBURY
State CT
ZIP 06033
Phone 714 843-5997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY NESTLER MD

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