07D0892631 CLIA NUMBER - HEMANT K PANCHAL, MD PEDIATRIC AND ADOLESCENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 07D0892631
  • Facility Name: HEMANT K PANCHAL, MD PEDIATRIC AND ADOLESCENT HEALTH SERVICES
  • Facility Address: 170 HAZARD AVENUE
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 749-2022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEMANT K. PANCHAL, MD
  • NPI Number: 1306885496
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0892631
LAB Type Physician Office
Facility Name HEMANT K PANCHAL, MD PEDIATRIC AND ADOLESCENT HEALTH SERVICES
Street 170 HAZARD AVENUE
City ENFIELD
State CT
ZIP 06082
Phone 860 749-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director HEMANT K. PANCHAL, MD

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