07D2009396 CLIA NUMBER - CONNECTICUT IMAGING PARTNERS- ENFIELD OFFICE

Laboratory Demographics

  • CLIA Code: 07D2009396
  • Facility Name: CONNECTICUT IMAGING PARTNERS- ENFIELD OFFICE
  • Facility Address: 100 HAZARD AVE
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 289-3375
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARTIN OLLENSCHLEGER
  • NPI Number: 1275846453
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 07D2009396
LAB Type Physician Office
Facility Name CONNECTICUT IMAGING PARTNERS- ENFIELD OFFICE
Street 100 HAZARD AVE
City ENFIELD
State CT
ZIP 06082
Phone 860 289-3375
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 OLLENSCHLEGER

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