07D2001764 CLIA NUMBER - MHS PRIMARY CARE MIDDLESEX HEALTH UROLOGY

Laboratory Demographics

  • CLIA Code: 07D2001764
  • Facility Name: MHS PRIMARY CARE MIDDLESEX HEALTH UROLOGY
  • Facility Address: 14 JONES HOLLOW ROAD
    MARLBOROUGH, CT
    ZIP 06447
  • Facility Phone: 860 347-8850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD FRINK
  • NPI Number: 1740666312
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 07D2001764
LAB Type Physician Office
Facility Name MHS PRIMARY CARE MIDDLESEX HEALTH UROLOGY
Street 14 JONES HOLLOW ROAD
City MARLBOROUGH
State CT
ZIP 06447
Phone 860 347-8850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director RICHARD FRINK

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