07D2144806 CLIA NUMBER - HARTFORD HEALTH GOHEALTH URGENT CARE LLC

Laboratory Demographics

CLIA Number: 07D2144806

Facility Name: HARTFORD HEALTH GOHEALTH URGENT CARE LLC

Facility Address:
1095 KENNEDY RD
WINDSOR, CT
ZIP 06095
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Facility Phone Number: 860 777-1280

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1619219219

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	07D2144806
LAB Type	Other - URGENT CARE
Facility Name	HARTFORD HEALTH GOHEALTH URGENT CARE LLC
Street	1095 KENNEDY RD
City	WINDSOR
State	CT
ZIP	06095
Phone	860 777-1280
CertificateType	4
CertificateEffectiveDate	2/23/2024
CertificateExpirationDate	2/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024