07D0094815 CLIA NUMBER - COLLABORATIVE LAB SERVICES/BURGDORF FLEET HLTH CTR

Laboratory Demographics

  • CLIA Code: 07D0094815
  • Facility Name: COLLABORATIVE LAB SERVICES/BURGDORF FLEET HLTH CTR
  • Facility Address: 131 COVENTRY ST
    HARTFORD, CT
    ZIP 06112
  • Facility Phone: 860 714-6355
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: THALIA L. MESOLOGITES
  • NPI Number: 1841208345
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 07D0094815
LAB Type Independent
Facility Name COLLABORATIVE LAB SERVICES/BURGDORF FLEET HLTH CTR
Street 131 COVENTRY ST
City HARTFORD
State CT
ZIP 06112
Phone 860 714-6355
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 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Independent
Lab Director THALIA L. MESOLOGITES

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