33D2268276 CLIA NUMBER - CONNECTRX LATHAM LLC

Laboratory Demographics

  • CLIA Code: 33D2268276
  • Facility Name: CONNECTRX LATHAM LLC
  • Facility Address: 6 WELLNESS WAY - SUITE 104
    LATHAM, NY
    ZIP 12110
  • Facility Phone: 518 313-1016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. SEAN P. ROCHE
  • NPI Number: 1225793151
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2268276
LAB Type Pharmacy
Facility Name CONNECTRX LATHAM LLC
Street 6 WELLNESS WAY - SUITE 104
City LATHAM
State NY
ZIP 12110
Phone 518 313-1016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. SEAN P. ROCHE

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