07D1010390 CLIA NUMBER - WINSTED VA PRIMARY CARE CENTER

Laboratory Demographics

CLIA Number: 07D1010390

Facility Name: WINSTED VA PRIMARY CARE CENTER

Facility Address:
115 SPENCER ST
WINSTED, CT
ZIP 06098
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Facility Phone Number: 860 738-6985

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1063452878

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D1010390
LAB Type	Community Clinic
Facility Name	WINSTED VA PRIMARY CARE CENTER
Street	115 SPENCER ST
City	WINSTED
State	CT
ZIP	06098
Phone	860 738-6985
CertificateType	1
CertificateEffectiveDate	3/12/2003
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024