07D2041080 CLIA NUMBER - COMPREHENSIVE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 07D2041080
  • Facility Name: COMPREHENSIVE MEDICAL GROUP
  • Facility Address: 40 DALE ROAD STE 103
    AVON, CT
    ZIP 06001
  • Facility Phone: 860 673-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LALARUKH MUFTI MD
  • NPI Number: 1093014748
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 07D2041080
LAB Type Physician Office
Facility Name COMPREHENSIVE MEDICAL GROUP
Street 40 DALE ROAD STE 103
City AVON
State CT
ZIP 06001
Phone 860 673-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director LALARUKH MUFTI MD

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