07D0093693 CLIA NUMBER - PARKWAY PAVILION WACHUSETT VENTURES

Laboratory Demographics

  • CLIA Code: 07D0093693
  • Facility Name: PARKWAY PAVILION WACHUSETT VENTURES
  • Facility Address: 1157 ENFIELD ST
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 745-1641
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DARSHAN J. SHAH, MD
  • NPI Number: 1407274103
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0093693
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKWAY PAVILION WACHUSETT VENTURES
Street 1157 ENFIELD ST
City ENFIELD
State CT
ZIP 06082
Phone 860 745-1641
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 Skilled Nursing Facility/Nursing Facility
Lab Director DARSHAN J. SHAH, MD

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