CLIA lab
CLIA 07D2058549: Interventional Spine & Sports Medicine PC
Prospect, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2058549 belongs to Interventional Spine & Sports Medicine PC in Prospect, CT.
Certificate of Waiver, effective May 9, 2025, expires May 8, 2027.
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
- May 9, 2025
- Certificate expiration
- May 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2058549
- Lab name
- Interventional Spine & Sports Medicine PC
- Address
- 166 Waterbury Rd, Suite 204, Prospect, CT 06712
- Phone
- (203) 598-7246
- Fax
- (203) 598-0200
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Prospect, CT
- Connectcare and Welness LLCCertificate of Waiver, Other practitioner07D2350116
- Connecticut Gi, PCCertificate of Waiver, Physician office07D2308652
- Greater Waterbury Laser Eye Physicians & SurgeonsCertificate of Waiver, Physician office07D2105107
- Prospect Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office07D0969732
- Quest Diagnostics LLCCertificate of Compliance, Independent07D0097260
- Renewed Health and Wellness LLCCertificate of Waiver, Other07D2315962
- Unity Lab Services LLCCertificate of Waiver, Independent07D2337831
Related
Questions
What is the CLIA number for Interventional Spine & Sports Medicine PC in Prospect?
07D2058549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Spine & Sports Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2058549 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.