CLIA lab
CLIA 07D2154934: Premise Health of Connecticut Medical, PC
Groton, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2154934 belongs to Premise Health of Connecticut Medical, PC in Groton, CT.
Certificate of Waiver, effective September 20, 2026, expires September 19, 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 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2018
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2154934
- Lab name
- Premise Health of Connecticut Medical, PC
- Address
- 32 Chicago Ave, 2nd Floor, Groton, CT 06340
- Phone
- (860) 629-8272
- Fax
- (860) 629-8281
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Integrated Dermatology of GrotonCertificate for Provider-Performed Microscopy Procedures, Physician office07D0095280
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Related
Questions
What is the CLIA number for Premise Health of Connecticut Medical, PC in Groton?
07D2154934, 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 07D2154934 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.