07D2002473 CLIA NUMBER - GLASTONBURY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 07D2002473
  • Facility Name: GLASTONBURY SURGERY CENTER, LLC
  • Facility Address: 195 EASTERN BLVD
    GLASTONBURY, CT
    ZIP 06033
  • Facility Phone: 860 633-0003
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. LENA
  • NPI Number: 1669701157
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2002473
LAB Type Ambulatory Surgery Center
Facility Name GLASTONBURY SURGERY CENTER, LLC
Street 195 EASTERN BLVD
City GLASTONBURY
State CT
ZIP 06033
Phone 860 633-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER J. LENA

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