07D0952946 CLIA NUMBER - MHS PRIMARY CARE-MADISON

Laboratory Demographics

  • CLIA Code: 07D0952946
  • Facility Name: MHS PRIMARY CARE-MADISON
  • Facility Address: 1291 BOSTON POST RD, EAST ENTRY
    MADISON, CT
    ZIP 06443
  • Facility Phone: 203 245-1413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID PARMELEE
  • NPI Number: 1164649075
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0952946
LAB Type Physician Office
Facility Name MHS PRIMARY CARE-MADISON
Street 1291 BOSTON POST RD, EAST ENTRY
City MADISON
State CT
ZIP 06443
Phone 203 245-1413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DAVID PARMELEE

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