07D2142640 CLIA NUMBER - UCONN HEALTH DERMATOLOGY

Laboratory Demographics

CLIA Number: 07D2142640

Facility Name: UCONN HEALTH DERMATOLOGY

Facility Address:
21 SOUTH RD, 2ND FLR, STE 120
FARMINGTON, CT
ZIP 06030
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Facility Phone Number: 860 679-4600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285080648

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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
CertificateType	4
CertificateEffectiveDate	1/17/2024
CertificateExpirationDate	1/16/2026
FacilityType	Waiver

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