07D0097070 CLIA NUMBER - COMMUNITY HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 07D0097070

Facility Name: COMMUNITY HEALTH CENTER INC

Facility Address:
675 MAIN ST
MIDDLETOWN, CT
ZIP 06457
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Facility Phone Number: 860 852-0851

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1356676514

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D0097070
LAB Type	Federally Qualified Health Center
Facility Name	COMMUNITY HEALTH CENTER INC
Street	675 MAIN ST
City	MIDDLETOWN
State	CT
ZIP	06457
Phone	860 852-0851
CertificateType	3
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024