07D1106066 CLIA NUMBER - DARSHAN J SHAH MD LLC

Laboratory Demographics

  • CLIA Code: 07D1106066
  • Facility Name: DARSHAN J SHAH MD LLC
  • Facility Address: 139 HAZARD AVENUE, BLDG #4
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 763-0208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARSHAN J. SHAH MD
  • NPI Number: 1558355750
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1106066
LAB Type Physician Office
Facility Name DARSHAN J SHAH MD LLC
Street 139 HAZARD AVENUE, BLDG #4
City ENFIELD
State CT
ZIP 06082
Phone 860 763-0208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director DARSHAN J. SHAH MD

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