07D2277785 CLIA NUMBER - BRISTOL PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 07D2277785
  • Facility Name: BRISTOL PRIMARY CARE LLC
  • Facility Address: 665 TERRYVILLE AVE, UNIT 2
    BRISTOL, CT
    ZIP 06010
  • Facility Phone: 860 261-5525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KALPESH A. PATEL
  • NPI Number: 1588385504
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2277785
LAB Type Physician Office
Facility Name BRISTOL PRIMARY CARE LLC
Street 665 TERRYVILLE AVE, UNIT 2
City BRISTOL
State CT
ZIP 06010
Phone 860 261-5525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director KALPESH A. PATEL

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This page was last updated on: 9/29/2025