07D2291320 CLIA NUMBER - PRIMARY CARE AND BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 07D2291320
  • Facility Name: PRIMARY CARE AND BEHAVIORAL HEALTH
  • Facility Address: 2880 OLD DIXWELL AVE, STE 200
    HAMDEN, CT
    ZIP 06518
  • Facility Phone: 203 269-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGARET CHUSTECKA
  • NPI Number: 1821737313
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2291320
LAB Type Physician Office
Facility Name PRIMARY CARE AND BEHAVIORAL HEALTH
Street 2880 OLD DIXWELL AVE, STE 200
City HAMDEN
State CT
ZIP 06518
Phone 203 269-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director MARGARET CHUSTECKA

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