07D0098748 CLIA NUMBER - GENERAL PRACTITIONERS OF HAMDEN & BRANFORD ATTN - SUSAN COVINO

Laboratory Demographics

  • CLIA Code: 07D0098748
  • Facility Name: GENERAL PRACTITIONERS OF HAMDEN & BRANFORD ATTN - SUSAN COVINO
  • Facility Address: 1684 DIXWELL AVE
    HAMDEN, CT
    ZIP 06514
  • Facility Phone: 203 787-7191
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: RICHARD R. SLATER MD
  • NPI Number: 1952431066
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0098748
LAB Type Independent
Facility Name GENERAL PRACTITIONERS OF HAMDEN & BRANFORD ATTN - SUSAN COVINO
Street 1684 DIXWELL AVE
City HAMDEN
State CT
ZIP 06514
Phone 203 787-7191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Independent
Lab Director RICHARD R. SLATER MD

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