07D2009395 CLIA NUMBER - CONNECTICUT IMAGING PARTNERS

Laboratory Demographics

  • CLIA Code: 07D2009395
  • Facility Name: CONNECTICUT IMAGING PARTNERS
  • Facility Address: 18 EAST GRANBY RD
    GRANBY, CT
    ZIP 06035
  • Facility Phone: 860 290-6523
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARTIN D. OLLENSCHLEGER
  • NPI Number: 1639441439
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2009395
LAB Type Physician Office
Facility Name CONNECTICUT IMAGING PARTNERS
Street 18 EAST GRANBY RD
City GRANBY
State CT
ZIP 06035
Phone 860 290-6523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director DR. MARTIN D. OLLENSCHLEGER

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