07D2081757 CLIA NUMBER - INTERCOMMUNITY, INC

Laboratory Demographics

  • CLIA Code: 07D2081757
  • Facility Name: INTERCOMMUNITY, INC
  • Facility Address: 281 MAIN ST
    EAST HARTFORD, CT
    ZIP 06118
  • Facility Phone: 860 569-5900
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CHAD MCDONALD
  • NPI Number: 1245430891
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2081757
LAB Type Community Clinic
Facility Name INTERCOMMUNITY, INC
Street 281 MAIN ST
City EAST HARTFORD
State CT
ZIP 06118
Phone 860 569-5900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Community Clinic
Lab Director CHAD MCDONALD

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