07D1003672 CLIA NUMBER - ANDREW GANELES MD LLC

Laboratory Demographics

  • CLIA Code: 07D1003672
  • Facility Name: ANDREW GANELES MD LLC
  • Facility Address: 381 HOPMEADOW STREET SUITE 101B
    WEATOGUE, CT
    ZIP 06089
  • Facility Phone: 860 651-1166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW GANELES MD
  • NPI Number: 1902849755
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1003672
LAB Type Physician Office
Facility Name ANDREW GANELES MD LLC
Street 381 HOPMEADOW STREET SUITE 101B
City WEATOGUE
State CT
ZIP 06089
Phone 860 651-1166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director ANDREW GANELES MD

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