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07D2105107 CLIA NUMBER - GREATER WATERBURY LASER EYE PHYSICIANS & SURGEONS

Laboratory Demographics

CLIA Number: 07D2105107

Facility Name: GREATER WATERBURY LASER EYE PHYSICIANS & SURGEONS

Facility Address:
166 WATERBURY RD, SUITE 201
PROSPECT, CT
ZIP 06712
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Facility Phone Number: 203 791-2020

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033167804

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 07D2105107
LAB Type Physician Office
Facility Name GREATER WATERBURY LASER EYE PHYSICIANS & SURGEONS
Street 166 WATERBURY RD, SUITE 201
City PROSPECT
State CT
ZIP 06712
Phone 203 791-2020
CertificateType 4
CertificateEffectiveDate 11/18/2023
CertificateExpirationDate 11/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024