07D0879309 CLIA NUMBER - MHS PRIMARY CARE, INC

Laboratory Demographics

CLIA Number: 07D0879309

Facility Name: MHS PRIMARY CARE, INC

Facility Address:
154 MAIN ST
OLD SAYBROOK, CT
ZIP 06475
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Facility Phone Number: 860 395-1212

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1104043017

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	07D0879309
LAB Type	Physician Office
Facility Name	MHS PRIMARY CARE, INC
Street	154 MAIN ST
City	OLD SAYBROOK
State	CT
ZIP	06475
Phone	860 395-1212
CertificateType	3
CertificateEffectiveDate	11/19/2023
CertificateExpirationDate	11/18/2025
FacilityType	PPMP

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