07D0096744 CLIA NUMBER - PROHEALTH PHYSICIANS PRIMARY CARE, MADISON

Laboratory Demographics

  • CLIA Code: 07D0096744
  • Facility Name: PROHEALTH PHYSICIANS PRIMARY CARE, MADISON
  • Facility Address: 6 WOODLAND RD
    MADISON, CT
    ZIP 06443
  • Facility Phone: 203 245-7959
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SERLE M. EPSTEIN
  • NPI Number: 1912991175
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0096744
LAB Type Physician Office
Facility Name PROHEALTH PHYSICIANS PRIMARY CARE, MADISON
Street 6 WOODLAND RD
City MADISON
State CT
ZIP 06443
Phone 203 245-7959
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director SERLE M. EPSTEIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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