07D2103712 CLIA NUMBER - WALLINGFORD DIALYSIS CARE, LLC

Laboratory Demographics

  • CLIA Code: 07D2103712
  • Facility Name: WALLINGFORD DIALYSIS CARE, LLC
  • Facility Address: 720 NORTH MAIN ST EXT, STE 3
    WALLINGFORD, CT
    ZIP 06492
  • Facility Phone: 203 265-0667
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRFAN CHUGHTAI MD
  • NPI Number: 1366829343
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2103712
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WALLINGFORD DIALYSIS CARE, LLC
Street 720 NORTH MAIN ST EXT, STE 3
City WALLINGFORD
State CT
ZIP 06492
Phone 203 265-0667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRFAN CHUGHTAI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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