07D2142640 CLIA NUMBER - UCONN HEALTH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D2142640
  • Facility Name: UCONN HEALTH DERMATOLOGY
  • Facility Address: 21 SOUTH RD, 2ND FLR, STE 120
    FARMINGTON, CT
    ZIP 06030
  • Facility Phone: 860 679-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP E. KERR
  • NPI Number: 1285080648
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 07D2142640
LAB Type Physician Office
Facility Name UCONN HEALTH DERMATOLOGY
Street 21 SOUTH RD, 2ND FLR, STE 120
City FARMINGTON
State CT
ZIP 06030
Phone 860 679-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director PHILIP E. KERR

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