07D2261771 CLIA NUMBER - ZADIE KENKARE INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 07D2261771

Facility Name: ZADIE KENKARE INTERNAL MEDICINE

Facility Address:
2 SAMSON ROCK DR, STE 1A
MADISON, CT
ZIP 06443
Get Directions

Facility Phone Number: 860 421-2272

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477206878

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D2261771
LAB Type	Physician Office
Facility Name	ZADIE KENKARE INTERNAL MEDICINE
Street	2 SAMSON ROCK DR, STE 1A
City	MADISON
State	CT
ZIP	06443
Phone	860 421-2272
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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