07D2088410 CLIA NUMBER - URGENT CARE CENTER-CHASE

Laboratory Demographics

  • CLIA Code: 07D2088410
  • Facility Name: URGENT CARE CENTER-CHASE
  • Facility Address: 279 CHASE AVE
    WATERBURY, CT
    ZIP 06704
  • Facility Phone: 203 874-3682
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASDEEP SIDANA
  • NPI Number: 1285869073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2088410
LAB Type Physician Office
Facility Name URGENT CARE CENTER-CHASE
Street 279 CHASE AVE
City WATERBURY
State CT
ZIP 06704
Phone 203 874-3682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director JASDEEP SIDANA

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