07D0093568 CLIA NUMBER - SUFFIELD MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 07D0093568
  • Facility Name: SUFFIELD MEDICAL ASSOCIATES
  • Facility Address: 230 MOUNTAIN ROAD
    SUFFIELD, CT
    ZIP 06078
  • Facility Phone: 860 668-1211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE ANASTASIO
  • NPI Number: 1417129800
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0093568
LAB Type Physician Office
Facility Name SUFFIELD MEDICAL ASSOCIATES
Street 230 MOUNTAIN ROAD
City SUFFIELD
State CT
ZIP 06078
Phone 860 668-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director GEORGE ANASTASIO

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