07D1070333 CLIA NUMBER - JENNIFER W PENNOYER, MD, LLC

Laboratory Demographics

  • CLIA Code: 07D1070333
  • Facility Name: JENNIFER W PENNOYER, MD, LLC
  • Facility Address: 47 JOLLEY DR
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: 860 243-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER W. PENNOYER, MD
  • NPI Number: 1982665725
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D1070333
LAB Type Physician Office
Facility Name JENNIFER W PENNOYER, MD, LLC
Street 47 JOLLEY DR
City BLOOMFIELD
State CT
ZIP 06002
Phone 860 243-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director JENNIFER W. PENNOYER, MD

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