07D2261787 CLIA NUMBER - CONNECTICUT GI, PC

Laboratory Demographics

  • CLIA Code: 07D2261787
  • Facility Name: CONNECTICUT GI, PC
  • Facility Address: 196 WATERFORD PARKWAY SOUTH
    WATERFORD, CT
    ZIP 06385
  • Facility Phone: 860 447-2489
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSALIND U. VAN STOLK
  • NPI Number: 1619071529
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2261787
LAB Type Physician Office
Facility Name CONNECTICUT GI, PC
Street 196 WATERFORD PARKWAY SOUTH
City WATERFORD
State CT
ZIP 06385
Phone 860 447-2489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director ROSALIND U. VAN STOLK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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