07D2091782 CLIA NUMBER - DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE

Laboratory Demographics

  • CLIA Code: 07D2091782
  • Facility Name: DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE
  • Facility Address: 687 MAIN ST REAR BUILDING
    BRANFORD, CT
    ZIP 06405
  • Facility Phone: 203 481-0315
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL DORFMAN
  • NPI Number: 1356480578
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2091782
LAB Type Ambulatory Surgery Center
Facility Name DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE
Street 687 MAIN ST REAR BUILDING
City BRANFORD
State CT
ZIP 06405
Phone 203 481-0315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL DORFMAN

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