07D1074388 CLIA NUMBER - PRIME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 07D1074388
  • Facility Name: PRIME HEALTH CARE
  • Facility Address: 27 SYCAMORE ST, STE100
    GLASTONBURY, CT
    ZIP 06033
  • Facility Phone: 860 263-0253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHAN M. LASSMAN, MD
  • NPI Number: 1184819302
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1074388
LAB Type Physician Office
Facility Name PRIME HEALTH CARE
Street 27 SYCAMORE ST, STE100
City GLASTONBURY
State CT
ZIP 06033
Phone 860 263-0253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director NATHAN M. LASSMAN, MD

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