07D2086766 CLIA NUMBER - TRUMBULL RADIATION ONCOLOGY CENTER ATTN-ANISSA MULLER, OPERATIONS MANAGER

Laboratory Demographics

  • CLIA Code: 07D2086766
  • Facility Name: TRUMBULL RADIATION ONCOLOGY CENTER ATTN-ANISSA MULLER, OPERATIONS MANAGER
  • Facility Address: 5520 PARK AVE
    TRUMBULL, CT
    ZIP 06611
  • Facility Phone: 203 337-8700
  • Facility Type: Other - AMBULATORY RADIATION ONCO
  • Facility Type: Waiver
  • Lab Director: KEVIN DU
  • NPI Number: 1548626823
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 07D2086766
LAB Type Other - AMBULATORY RADIATION ONCO
Facility Name TRUMBULL RADIATION ONCOLOGY CENTER ATTN-ANISSA MULLER, OPERATIONS MANAGER
Street 5520 PARK AVE
City TRUMBULL
State CT
ZIP 06611
Phone 203 337-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Other - AMBULATORY RADIATION ONCO
Lab Director KEVIN DU

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