CLIA lab
CLIA 07D0862002: Premise Health of Connecticut Medical, PC
Middletown, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D0862002 belongs to Premise Health of Connecticut Medical, PC in Middletown, CT.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D0862002
- Lab name
- Premise Health of Connecticut Medical, PC
- Address
- 1 Aircraft Road, Middletown, CT 06457
- Phone
- (860) 344-5173
- Fax
- (860) 344-4413
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Middletown, CT
- A Better Choice Womens Center IncCertificate of Waiver, Physician office07D2003141
- Appleseed Pediatric and Adolescent MedicineCertificate of Waiver, Physician office07D2229185
- Arc In-Home Addiction TreatmentCertificate of Waiver, Other07D2111434
- Bal Middletown, LLCCertificate of Waiver, Assisted living facility07D0977562
- Clinical LaboratoryCertificate of Waiver, Hospital07D0980810
- Community Health Center IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center07D0097070
- Connecticut CVS Pharmacy, LLCCertificate of Waiver, Pharmacy07D2186003
- Connecticut CVS Pharmacy, LLCCertificate of Waiver, Pharmacy07D2282221
- Connecticut Oncology Group, PCCertificate of Waiver, Physician office07D0707295
- Connecticut Pathology GroupCertificate of Compliance, Other07D2279838
Related
Questions
What is the CLIA number for Premise Health of Connecticut Medical, PC in Middletown?
07D0862002, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Connecticut Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D0862002 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.