07D0092218 CLIA NUMBER - COLLINS MEDICAL ASSOCIATES 2PC

Laboratory Demographics

  • CLIA Code: 07D0092218
  • Facility Name: COLLINS MEDICAL ASSOCIATES 2PC
  • Facility Address: 580 COTTAGE GROVE ROAD, SUITE 107 ATTN TRACY WIELICZKA
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: 860 243-8709
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY P. COHEN
  • NPI Number: 1518256452
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0092218
LAB Type Physician Office
Facility Name COLLINS MEDICAL ASSOCIATES 2PC
Street 580 COTTAGE GROVE ROAD, SUITE 107 ATTN TRACY WIELICZKA
City BLOOMFIELD
State CT
ZIP 06002
Phone 860 243-8709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director GARY P. COHEN

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