07D0722795 CLIA NUMBER - UNIVERSITY OF HARTFORD HEALTH SERVICES

Laboratory Demographics

CLIA Code: 07D0722795
Facility Name: UNIVERSITY OF HARTFORD HEALTH SERVICES
Facility Address: 200 BLOOMFIELD AVENUE
WEST HARTFORD, CT
ZIP 06117
Facility Phone: 860 768-6601
Facility Type: School/Student Health Service
Facility Type: Microscopy
Lab Director: DEMETRA ELEFTHERIOU
NPI Number: 1235202821
Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	07D0722795
LAB Type	School/Student Health Service
Facility Name	UNIVERSITY OF HARTFORD HEALTH SERVICES
Street	200 BLOOMFIELD AVENUE
City	WEST HARTFORD
State	CT
ZIP	06117
Phone	860 768-6601
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	9/15/2024
Certificate Expiration Date	9/14/2026
Facility Type	School/Student Health Service
Lab Director	DEMETRA ELEFTHERIOU

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