07D2161477 CLIA NUMBER - ORTHOPAEDIC SPECIALTY SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 07D2161477

Facility Name: ORTHOPAEDIC SPECIALTY SURGERY CENTER, LLC

Facility Address:
40 OLD RIDGEBURY RD, SUITE 201
DANBURY, CT
ZIP 06810
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Facility Phone Number: 203 205-2840

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1174708390

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D2161477
LAB Type	Ambulatory Surgery Center
Facility Name	ORTHOPAEDIC SPECIALTY SURGERY CENTER, LLC
Street	40 OLD RIDGEBURY RD, SUITE 201
City	DANBURY
State	CT
ZIP	06810
Phone	203 205-2840
CertificateType	4
CertificateEffectiveDate	2/4/2023
CertificateExpirationDate	2/3/2025
FacilityType	Waiver

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