07D2040559 CLIA NUMBER - TRINITY HEALTH OF NEW ENGLAND PROVIDER ORGANIZATION, INC

Laboratory Demographics

  • CLIA Code: 07D2040559
  • Facility Name: TRINITY HEALTH OF NEW ENGLAND PROVIDER ORGANIZATION, INC
  • Facility Address: 490 BLUE HILLS AVE 4TH FLOOR UROLOGY
    HARTFORD, CT
    ZIP 06112
  • Facility Phone: 203 709-8326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YORK P. MOY
  • NPI Number: 1811052194
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 07D2040559
LAB Type Physician Office
Facility Name TRINITY HEALTH OF NEW ENGLAND PROVIDER ORGANIZATION, INC
Street 490 BLUE HILLS AVE 4TH FLOOR UROLOGY
City HARTFORD
State CT
ZIP 06112
Phone 203 709-8326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director YORK P. MOY

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