07D2284346 CLIA NUMBER - CENTRAL CONNECTICUT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D2284346
  • Facility Name: CENTRAL CONNECTICUT DERMATOLOGY
  • Facility Address: 340 BUCKLAND RD, 2ND FLR
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 322-2222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JUSTIN FINCH
  • NPI Number: 1407313984
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D2284346
LAB Type Physician Office
Facility Name CENTRAL CONNECTICUT DERMATOLOGY
Street 340 BUCKLAND RD, 2ND FLR
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 322-2222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director JUSTIN FINCH

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