Healther Providers Data Logo

07D0093009 CLIA NUMBER - HARTFORD HEALTHCARE CANCER INSTITUTE AT THOCC

Laboratory Demographics

CLIA Number: 07D0093009

Facility Name: HARTFORD HEALTHCARE CANCER INSTITUTE AT THOCC

Facility Address:
201 NORTH MOUNTAIN RD STE 202, C/O LAB SUPERVISOR
PLAINVILLE, CT
ZIP 06062
Get Directions

Facility Phone Number: 860 224-4408

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1588916993

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 07D0093009
LAB Type Physician Office
Facility Name HARTFORD HEALTHCARE CANCER INSTITUTE AT THOCC
Street 201 NORTH MOUNTAIN RD STE 202, C/O LAB SUPERVISOR
City PLAINVILLE
State CT
ZIP 06062
Phone 860 224-4408
CertificateType 2
CertificateEffectiveDate 9/8/2023
CertificateExpirationDate 9/7/2025
FacilityType Compliance

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024