07D2147531 CLIA NUMBER - MAYEDA REHAB, LLC PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 07D2147531
  • Facility Name: MAYEDA REHAB, LLC PRIMARY CARE
  • Facility Address: 784 OLD MAIN ST
    ROCKY HILL, CT
    ZIP 06067
  • Facility Phone: 860 221-5837
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: NANCY MAYEDA-BRESCIA APRN
  • NPI Number: 1255770483
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2147531
LAB Type Practitioner Other
Facility Name MAYEDA REHAB, LLC PRIMARY CARE
Street 784 OLD MAIN ST
City ROCKY HILL
State CT
ZIP 06067
Phone 860 221-5837
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 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Practitioner Other
Lab Director NANCY MAYEDA-BRESCIA APRN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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