07D2225881 CLIA NUMBER - CARE BEYOND MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 07D2225881
  • Facility Name: CARE BEYOND MEDICINE PLLC
  • Facility Address: 2247 EAST MAIN ST, STE 103
    WATERBURY, CT
    ZIP 06705
  • Facility Phone: 203 527-7269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP A. MONGELLUZZO JR
  • NPI Number: 1902481930
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2225881
LAB Type Physician Office
Facility Name CARE BEYOND MEDICINE PLLC
Street 2247 EAST MAIN ST, STE 103
City WATERBURY
State CT
ZIP 06705
Phone 203 527-7269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director PHILIP A. MONGELLUZZO JR

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