07D2211781 CLIA NUMBER - PRIME HEALTHCARE, PC

Laboratory Demographics

  • CLIA Code: 07D2211781
  • Facility Name: PRIME HEALTHCARE, PC
  • Facility Address: 61 SO MAIN ST, STE 312
    WEST HARTFORD, CT
    ZIP 06107
  • Facility Phone: (860) 247-2530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. PRESKENIS
  • NPI Number: 1184832354
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2211781
LAB Type Physician Office
Facility Name PRIME HEALTHCARE, PC
Street 61 SO MAIN ST, STE 312
City WEST HARTFORD
State CT
ZIP 06107
Phone 8602472530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director WILLIAM R. PRESKENIS

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This page was last updated on: 6/29/2026