07D2311179 CLIA NUMBER - CT MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 07D2311179
  • Facility Name: CT MEDICAL GROUP INC
  • Facility Address: 636 CAMPBELL AVE
    WEST HAVEN, CT
    ZIP 06516
  • Facility Phone: 203 529-3271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASDEEP SIDANA
  • NPI Number: 1962265934
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2311179
LAB Type Physician Office
Facility Name CT MEDICAL GROUP INC
Street 636 CAMPBELL AVE
City WEST HAVEN
State CT
ZIP 06516
Phone 203 529-3271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director JASDEEP SIDANA

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