07D0093622 CLIA NUMBER - GEORGE M DONAHUE MD

Laboratory Demographics

  • CLIA Code: 07D0093622
  • Facility Name: GEORGE M DONAHUE MD
  • Facility Address: 150 HAZARD AVE
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 203 763-1043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE M. DONAHUE
  • NPI Number: 1710964325
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0093622
LAB Type Physician Office
Facility Name GEORGE M DONAHUE MD
Street 150 HAZARD AVE
City ENFIELD
State CT
ZIP 06082
Phone 203 763-1043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GEORGE M. DONAHUE

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