07D2039632 CLIA NUMBER - PETER BENET MD

Laboratory Demographics

  • CLIA Code: 07D2039632
  • Facility Name: PETER BENET MD
  • Facility Address: 479 BUCKLAND STREET
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 644-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER BENET
  • NPI Number: 1134230394
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 07D2039632
LAB Type Physician Office
Facility Name PETER BENET MD
Street 479 BUCKLAND STREET
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 644-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director PETER BENET

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