07D1004629 CLIA NUMBER - PEDIATRIC ASSOCIATES OF FARMINGTON, LLC

Laboratory Demographics

  • CLIA Code: 07D1004629
  • Facility Name: PEDIATRIC ASSOCIATES OF FARMINGTON, LLC
  • Facility Address: 200 MOUNTAIN ROAD
    FARMINGTON, CT
    ZIP 06032
  • Facility Phone: 860 676-9000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEEPA P. LIMAYE MD
  • NPI Number: 1033151790
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1004629
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF FARMINGTON, LLC
Street 200 MOUNTAIN ROAD
City FARMINGTON
State CT
ZIP 06032
Phone 860 676-9000
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director DEEPA P. LIMAYE MD

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