07D2047913 CLIA NUMBER - COLLABORATIVE LABORATORY SERVICES CANCER CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 07D2047913
  • Facility Name: COLLABORATIVE LABORATORY SERVICES CANCER CENTER LABORATORY
  • Facility Address: 114 WOODLAND ST ATTN - KATHLEEN LUCZYK
    HARTFORD, CT
    ZIP 06105
  • Facility Phone: 860 714-6355
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARIA A. GORGAN
  • NPI Number: 1629082920
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 07D2047913
LAB Type Hospital
Facility Name COLLABORATIVE LABORATORY SERVICES CANCER CENTER LABORATORY
Street 114 WOODLAND ST ATTN - KATHLEEN LUCZYK
City HARTFORD
State CT
ZIP 06105
Phone 860 714-6355
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Hospital
Lab Director DR. MARIA A. GORGAN

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