07D0093493 CLIA NUMBER - MATTHEW FRIEDMAN MD

Laboratory Demographics

  • CLIA Code: 07D0093493
  • Facility Name: MATTHEW FRIEDMAN MD
  • Facility Address: 1050 SULLIVAN AVE, STE B-1
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 644-3411
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW FRIEDMAN MD
  • NPI Number: 1437155850
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0093493
LAB Type Physician Office
Facility Name MATTHEW FRIEDMAN MD
Street 1050 SULLIVAN AVE, STE B-1
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 644-3411
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director MATTHEW FRIEDMAN MD

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