07D2180448 CLIA NUMBER - MIDDLESEX DENTAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 07D2180448
  • Facility Name: MIDDLESEX DENTAL ASSOCIATES
  • Facility Address: 141 COE AVE
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 344-9096
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. ONOFREO DMD
  • NPI Number: 1063963791
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 07D2180448
LAB Type Practitioner Other
Facility Name MIDDLESEX DENTAL ASSOCIATES
Street 141 COE AVE
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 344-9096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Practitioner Other
Lab Director ANTHONY J. ONOFREO DMD

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