07D2153752 CLIA NUMBER - HOSPITAL OF CENTRAL CONNECTICUT, THE ADVANCED WOUND CARE

Laboratory Demographics

  • CLIA Code: 07D2153752
  • Facility Name: HOSPITAL OF CENTRAL CONNECTICUT, THE ADVANCED WOUND CARE
  • Facility Address: 22 PINE ST, SUITE 104 ATTN - KELLEY SANTOPIETRO
    BRISTOL, CT
    ZIP 06010
  • Facility Phone: 860 584-8379
  • Facility Type: Other - WOUND CARE
  • Facility Type: Waiver
  • Lab Director: AURANGZEB A. ALI
  • NPI Number: 1083801039
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2153752
LAB Type Other - WOUND CARE
Facility Name HOSPITAL OF CENTRAL CONNECTICUT, THE ADVANCED WOUND CARE
Street 22 PINE ST, SUITE 104 ATTN - KELLEY SANTOPIETRO
City BRISTOL
State CT
ZIP 06010
Phone 860 584-8379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - WOUND CARE
Lab Director AURANGZEB A. ALI

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: 3/20/2025