07D2108772 CLIA NUMBER - BLOOMFIELD AMBULATORY SURGEY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 07D2108772
  • Facility Name: BLOOMFIELD AMBULATORY SURGEY CENTER, LLC
  • Facility Address: 580 COTTAGE GROVE RD, SUITE 211
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: 860 242-2193
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC A. LEDERMAN
  • NPI Number: 1255797726
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2108772
LAB Type Ambulatory Surgery Center
Facility Name BLOOMFIELD AMBULATORY SURGEY CENTER, LLC
Street 580 COTTAGE GROVE RD, SUITE 211
City BLOOMFIELD
State CT
ZIP 06002
Phone 860 242-2193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Ambulatory Surgery Center
Lab Director MARC A. LEDERMAN

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