07D2175883 CLIA NUMBER - SYNERGY ADVANCED HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 07D2175883

Facility Name: SYNERGY ADVANCED HEALTHCARE LLC

Facility Address:
100 COMMERCIAL BLVD
TORRINGTON, CT
ZIP 06790
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Facility Phone Number: 860 618-7575

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1306488762

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	07D2175883
LAB Type	Practitioner Other
Facility Name	SYNERGY ADVANCED HEALTHCARE LLC
Street	100 COMMERCIAL BLVD
City	TORRINGTON
State	CT
ZIP	06790
Phone	860 618-7575
CertificateType	4
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Waiver

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