07D2001276 CLIA NUMBER - PROHEALTH PHYSICIANS OF FARMINGTON

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Laboratory Demographics

CLIA Number: 07D2001276

Facility Name: PROHEALTH PHYSICIANS OF FARMINGTON

Facility Address:
599 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032
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Facility Phone Number: 860 284-4945

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912175639

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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
CertificateType	3
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024