07D0713431 CLIA NUMBER - WOODLAND WOMENS HEALTH ASSOC

Laboratory Demographics

  • CLIA Code: 07D0713431
  • Facility Name: WOODLAND WOMENS HEALTH ASSOC
  • Facility Address: 19 WOODLAND STREET STE 31
    HARTFORD, CT
    ZIP 06105
  • Facility Phone: 860 728-1212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL R. BOURQUE
  • NPI Number: 1588973689
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 07D0713431
LAB Type Physician Office
Facility Name WOODLAND WOMENS HEALTH ASSOC
Street 19 WOODLAND STREET STE 31
City HARTFORD
State CT
ZIP 06105
Phone 860 728-1212
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 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director DR. MICHAEL R. BOURQUE

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