07D0975138 CLIA NUMBER - MIDDLESEX HOSPITAL PRIMARY CARE - TRITOWN

Laboratory Demographics

  • CLIA Code: 07D0975138
  • Facility Name: MIDDLESEX HOSPITAL PRIMARY CARE - TRITOWN
  • Facility Address: 9 WILDWOOD MEDICAL CENTER
    ESSEX, CT
    ZIP 06426
  • Facility Phone: (860) 767-9940
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LOUISE M. MALONEY
  • NPI Number: 1083914907
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0975138
LAB Type Physician Office
Facility Name MIDDLESEX HOSPITAL PRIMARY CARE - TRITOWN
Street 9 WILDWOOD MEDICAL CENTER
City ESSEX
State CT
ZIP 06426
Phone 8607679940
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 6/28/2026
Certificate Expiration Date 6/27/2028
Facility Type Physician Office
Lab Director LOUISE M. MALONEY

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This page was last updated on: 6/29/2026