07D2262317 CLIA NUMBER - CONNECTICUT GI, PC

Laboratory Demographics

  • CLIA Code: 07D2262317
  • Facility Name: CONNECTICUT GI, PC
  • Facility Address: 74 MACK ST
    WINDSOR, CT
    ZIP 06095
  • Facility Phone: 860 243-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SELDEN
  • NPI Number: 1477588002
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2262317
LAB Type Physician Office
Facility Name CONNECTICUT GI, PC
Street 74 MACK ST
City WINDSOR
State CT
ZIP 06095
Phone 860 243-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director MICHAEL A. SELDEN

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