07D2139768 CLIA NUMBER - CONNECTICUT GI PC

Laboratory Demographics

  • CLIA Code: 07D2139768
  • Facility Name: CONNECTICUT GI PC
  • Facility Address: 455 LEWIS AVE, STE 200
    MERIDEN, CT
    ZIP 06451
  • Facility Phone: (203) 886-0036
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS T. MILLER
  • NPI Number: 1023291622
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 07D2139768
LAB Type Physician Office
Facility Name CONNECTICUT GI PC
Street 455 LEWIS AVE, STE 200
City MERIDEN
State CT
ZIP 06451
Phone 2038860036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2025
Certificate Expiration Date 11/7/2027
Facility Type Physician Office
Lab Director DOUGLAS T. MILLER

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This page was last updated on: 6/29/2026