07D2286840 CLIA NUMBER - HARTFORD HEALTHCARE GOHEALTH URGENT CARE LLC

Laboratory Demographics

CLIA Number: 07D2286840

Facility Name: HARTFORD HEALTHCARE GOHEALTH URGENT CARE LLC

Facility Address:
28 SHUNPIKE RD
CROMWELL, CT
ZIP 06416
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Facility Phone Number: 860 777-1280

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1922378256

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	07D2286840
LAB Type	Other - URGENT CARE
Facility Name	HARTFORD HEALTHCARE GOHEALTH URGENT CARE LLC
Street	28 SHUNPIKE RD
City	CROMWELL
State	CT
ZIP	06416
Phone	860 777-1280
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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