07D2239525 CLIA NUMBER - COLLABORATION HEALTHCARE CORP D/B/A SAGE HEALTHCARE

Laboratory Demographics

CLIA Number: 07D2239525

Facility Name: COLLABORATION HEALTHCARE CORP D/B/A SAGE HEALTHCARE

Facility Address:
725 PARK AVE
BRIDGEPORT, CT
ZIP 06604
Get Directions

Facility Phone Number: 203 947-2147

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1689348534

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	07D2239525
LAB Type	Community Clinic
Facility Name	COLLABORATION HEALTHCARE CORP D/B/A SAGE HEALTHCARE
Street	725 PARK AVE
City	BRIDGEPORT
State	CT
ZIP	06604
Phone	203 947-2147
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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