07D2268561 CLIA NUMBER - ST VINCENT'S CENTERS FOR WOUND HEALING

Laboratory Demographics

  • CLIA Code: 07D2268561
  • Facility Name: ST VINCENT'S CENTERS FOR WOUND HEALING
  • Facility Address: 3272 MAIN ST
    STRATFORD, CT
    ZIP 06614
  • Facility Phone: 203 380-3970
  • Facility Type: Other - HOSPITAL OUTPATIENT DEPT
  • Facility Type: Waiver
  • Lab Director: LEE J. GOLDSTEIN
  • NPI Number: 1376931311
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 07D2268561
LAB Type Other - HOSPITAL OUTPATIENT DEPT
Facility Name ST VINCENT'S CENTERS FOR WOUND HEALING
Street 3272 MAIN ST
City STRATFORD
State CT
ZIP 06614
Phone 203 380-3970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Other - HOSPITAL OUTPATIENT DEPT
Lab Director LEE J. GOLDSTEIN

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