07D0879309 CLIA NUMBER - MHS PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 07D0879309
  • Facility Name: MHS PRIMARY CARE, INC
  • Facility Address: 154 MAIN ST
    OLD SAYBROOK, CT
    ZIP 06475
  • Facility Phone: 860 395-1212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUCINDA L. HAUTANIEMI MD
  • NPI Number: 1104043017
  • Taxonomy: 207Q00000X - Family Medicine

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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
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 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director LUCINDA L. HAUTANIEMI MD

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