07D2162716 CLIA NUMBER - IAN D KLEINHEN, MD, PLLC

Laboratory Demographics

  • CLIA Code: 07D2162716
  • Facility Name: IAN D KLEINHEN, MD, PLLC
  • Facility Address: 74 MACK ST
    WINDSOR, CT
    ZIP 06095
  • Facility Phone: 860 580-7071
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IAN D. KLEINHEN MD
  • NPI Number: 1669939369
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2162716
LAB Type Physician Office
Facility Name IAN D KLEINHEN, MD, PLLC
Street 74 MACK ST
City WINDSOR
State CT
ZIP 06095
Phone 860 580-7071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director IAN D. KLEINHEN MD

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