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07D2211781 CLIA NUMBER - GREATER HARTFORD LUNG GROUP, THE

Laboratory Demographics

CLIA Number: 07D2211781

Facility Name: GREATER HARTFORD LUNG GROUP, THE

Facility Address:
61 SO MAIN ST, STE 312
WEST HARTFORD, CT
ZIP 06107
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Facility Phone Number: 860 247-2530

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1578920187

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 07D2211781
LAB Type Physician Office
Facility Name GREATER HARTFORD LUNG GROUP, THE
Street 61 SO MAIN ST, STE 312
City WEST HARTFORD
State CT
ZIP 06107
Phone 860 247-2530
CertificateType 4
CertificateEffectiveDate 2/1/2023
CertificateExpirationDate 1/31/2025
FacilityType Waiver

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