07D1071343 CLIA NUMBER - PROSPECT CT MEDICAL FOUNDATION-ECMP ROCKVILLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 07D1071343
  • Facility Name: PROSPECT CT MEDICAL FOUNDATION-ECMP ROCKVILLE PRIMARY CARE
  • Facility Address: 145 UNION ST
    ROCKVILLE, CT
    ZIP 06066
  • Facility Phone: 860 533-4688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL BEY
  • NPI Number: 1801243225
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 07D1071343
LAB Type Physician Office
Facility Name PROSPECT CT MEDICAL FOUNDATION-ECMP ROCKVILLE PRIMARY CARE
Street 145 UNION ST
City ROCKVILLE
State CT
ZIP 06066
Phone 860 533-4688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director MICHAEL BEY

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