07D2232219 CLIA NUMBER - NANIK MANCHANDANI MD

Laboratory Demographics

  • CLIA Code: 07D2232219
  • Facility Name: NANIK MANCHANDANI MD
  • Facility Address: 2457 E MAIN ST, UNIT 105
    WATERBURY, CT
    ZIP 06705
  • Facility Phone: 203 527-7105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANIK R. MANCHANDANI
  • NPI Number: 1013164854
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 07D2232219
LAB Type Physician Office
Facility Name NANIK MANCHANDANI MD
Street 2457 E MAIN ST, UNIT 105
City WATERBURY
State CT
ZIP 06705
Phone 203 527-7105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director NANIK R. MANCHANDANI

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