07D2292840 CLIA NUMBER - GV MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 07D2292840
  • Facility Name: GV MEDICAL CLINIC LLC
  • Facility Address: 17 FARMINGTON AVENUE C/O HARTFORD NEUROPATHY
    PLAINVILLE, CT
    ZIP 06062
  • Facility Phone: 860 351-5528
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: VALLETA A GERALD
  • NPI Number: 1629782180
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2292840
LAB Type Health Main. Organization
Facility Name GV MEDICAL CLINIC LLC
Street 17 FARMINGTON AVENUE C/O HARTFORD NEUROPATHY
City PLAINVILLE
State CT
ZIP 06062
Phone 860 351-5528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Health Main. Organization
Lab Director VALLETA A GERALD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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