07D2210370 CLIA NUMBER - PROFESSIONAL NURSING SERVICE LLC

Laboratory Demographics

CLIA Number: 07D2210370

Facility Name: PROFESSIONAL NURSING SERVICE LLC

Facility Address:
27 SIEMON COMPANY DR, STE 228 W
WATERTOWN, CT
ZIP 06795
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Facility Phone Number: 860 417-7309

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1043889421

Taxonomy: 374U00000X - Home Health Aide
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

CLIA Record

Field Name	Field Value
CLIA Number	07D2210370
LAB Type	Home Health Agency
Facility Name	PROFESSIONAL NURSING SERVICE LLC
Street	27 SIEMON COMPANY DR, STE 228 W
City	WATERTOWN
State	CT
ZIP	06795
Phone	860 417-7309
CertificateType	4
CertificateEffectiveDate	1/21/2023
CertificateExpirationDate	1/20/2025
FacilityType	Waiver

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