07D1005957 CLIA NUMBER - KEVIN P GREENE MD & ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 07D1005957
  • Facility Name: KEVIN P GREENE MD & ASSOCIATES PC
  • Facility Address: 710 MAIN STREET BLDG 4
    PLANTSVILLE, CT
    ZIP 06479
  • Facility Phone: 860 378-2891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN P. GREENE MD
  • NPI Number: 1164498473
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1005957
LAB Type Physician Office
Facility Name KEVIN P GREENE MD & ASSOCIATES PC
Street 710 MAIN STREET BLDG 4
City PLANTSVILLE
State CT
ZIP 06479
Phone 860 378-2891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director KEVIN P. GREENE MD

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