07D2092327 CLIA NUMBER - ELECTRIC BOAT YARD HOSPITAL

Laboratory Demographics

  • CLIA Code: 07D2092327
  • Facility Name: ELECTRIC BOAT YARD HOSPITAL
  • Facility Address: 75 EASTERN POINT RD, A78-1
    GROTON, CT
    ZIP 06340
  • Facility Phone: 860 433-3470
  • Facility Type: Other - OCCUPATIONAL HLTH CLINIC
  • Facility Type: Waiver
  • Lab Director: ALLAN DIERMAN RN
  • NPI Number: 1942780234
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2092327
LAB Type Other - OCCUPATIONAL HLTH CLINIC
Facility Name ELECTRIC BOAT YARD HOSPITAL
Street 75 EASTERN POINT RD, A78-1
City GROTON
State CT
ZIP 06340
Phone 860 433-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other - OCCUPATIONAL HLTH CLINIC
Lab Director ALLAN DIERMAN RN

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This page was last updated on: 3/20/2025