07D2001276 CLIA NUMBER - PROHEALTH PHYSICIANS OF FARMINGTON

Laboratory Demographics

  • CLIA Code: 07D2001276
  • Facility Name: PROHEALTH PHYSICIANS OF FARMINGTON
  • Facility Address: 599 FARMINGTON AVE
    FARMINGTON, CT
    ZIP 06032
  • Facility Phone: 860 284-4945
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHILPA RAJASHEKAR
  • NPI Number: 1912175639
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 07D2001276
LAB Type Physician Office
Facility Name PROHEALTH PHYSICIANS OF FARMINGTON
Street 599 FARMINGTON AVE
City FARMINGTON
State CT
ZIP 06032
Phone 860 284-4945
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director SHILPA RAJASHEKAR

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