07D0096347 CLIA NUMBER - MHS PRIMARY CARE-ESSEX MED GROUP

Laboratory Demographics

  • CLIA Code: 07D0096347
  • Facility Name: MHS PRIMARY CARE-ESSEX MED GROUP
  • Facility Address: 147 WESTBROOK ROAD
    ESSEX, CT
    ZIP 06426
  • Facility Phone: 203 767-8265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. TOBIN MD
  • NPI Number: 1215436894
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0096347
LAB Type Physician Office
Facility Name MHS PRIMARY CARE-ESSEX MED GROUP
Street 147 WESTBROOK ROAD
City ESSEX
State CT
ZIP 06426
Phone 203 767-8265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director TIMOTHY A. TOBIN MD

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