07D1019799 CLIA NUMBER - LATINO COMMUNITY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 07D1019799
  • Facility Name: LATINO COMMUNITY SERVICES, INC
  • Facility Address: 28 GRAND ST
    HARTFORD, CT
    ZIP 06106
  • Facility Phone: 860 296-6400
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MADELINE RODRIGUEZ
  • NPI Number: 1871862789
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 07D1019799
LAB Type Community Clinic
Facility Name LATINO COMMUNITY SERVICES, INC
Street 28 GRAND ST
City HARTFORD
State CT
ZIP 06106
Phone 860 296-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Community Clinic
Lab Director MADELINE RODRIGUEZ

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