07D2002377 CLIA NUMBER - MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY

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Laboratory Demographics

CLIA Number: 07D2002377

Facility Name: MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY

Facility Address:
510 SAYBROOK RD
MIDDLETOWN, CT
ZIP 06457
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Facility Phone Number: 860 346-2267

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1932438553

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D2002377
LAB Type	Ambulatory Surgery Center
Facility Name	MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY
Street	510 SAYBROOK RD
City	MIDDLETOWN
State	CT
ZIP	06457
Phone	860 346-2267
CertificateType	4
CertificateEffectiveDate	1/14/2024
CertificateExpirationDate	1/13/2026
FacilityType	Waiver

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