07D2202716 CLIA NUMBER - PERSONAL CARE ASSOCIATES LLC

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Laboratory Demographics

CLIA Number: 07D2202716

Facility Name: PERSONAL CARE ASSOCIATES LLC

Facility Address:
601 FAMINGTON AVE
FARMINGTON, CT
ZIP 06032
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Facility Phone Number: 860 674-4334

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336740653

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	07D2202716
LAB Type	Physician Office
Facility Name	PERSONAL CARE ASSOCIATES LLC
Street	601 FAMINGTON AVE
City	FARMINGTON
State	CT
ZIP	06032
Phone	860 674-4334
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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