07D1085308 CLIA NUMBER - MANCHESTER PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 07D1085308
  • Facility Name: MANCHESTER PEDIATRIC ASSOCIATES
  • Facility Address: 2701 TAMARACK AVE
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 647-8282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SWATHANTHRA K. MELEKOTE, MD
  • NPI Number: 1053612911
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1085308
LAB Type Physician Office
Facility Name MANCHESTER PEDIATRIC ASSOCIATES
Street 2701 TAMARACK AVE
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 647-8282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director SWATHANTHRA K. MELEKOTE, MD

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