Organization
UNIVERSITY OF CONNECTICUT
Active
Other names
UConn Student Health Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ANDERSON M.D. (MEDICAL DIRECTOR)
(860) 486-0765
Entity
Organization
Contact information
Practice address
234 GLENBROOK RD UNIT 4011, STORRS, CT 06269-4011
(860) 486-0730
(860) 486-4076
Mailing address
234 GLENBROOK RD UNIT 4011, STORRS, CT 06269-4011
(860) 486-0730
(860) 486-4076
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0378
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0716469
CLIA
CT
01
—
CL-0378
LABORATORY LICENSE
CT
Enumeration date
03/18/2016
Last updated
03/18/2016
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