07D1078372 CLIA NUMBER - HERITAGE INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 07D1078372
  • Facility Name: HERITAGE INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 945 MAIN STREET, SUITE 102
    MANCHESTER, CT
    ZIP 06040
  • Facility Phone: 860 643-0319
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARJORIE A. GARRETT, MD
  • NPI Number: 1609051044
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1078372
LAB Type Physician Office
Facility Name HERITAGE INTERNAL MEDICINE ASSOCIATES
Street 945 MAIN STREET, SUITE 102
City MANCHESTER
State CT
ZIP 06040
Phone 860 643-0319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director MARJORIE A. GARRETT, MD

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