07D0927839 CLIA NUMBER - MHS PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 07D0927839
  • Facility Name: MHS PRIMARY CARE INC
  • Facility Address: 520 SAYBROOK RD, STE N100
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 344-1801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. SPADA
  • NPI Number: 1639399959
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0927839
LAB Type Physician Office
Facility Name MHS PRIMARY CARE INC
Street 520 SAYBROOK RD, STE N100
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 344-1801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MICHAEL P. SPADA

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