07D2299530 CLIA NUMBER - HARTFORD GOHEALTH URGENT CARE - GROTON

Laboratory Demographics

CLIA Number: 07D2299530

Facility Name: HARTFORD GOHEALTH URGENT CARE - GROTON

Facility Address:
350 LONG HILL ROAD
GROTON, CT
ZIP 06340
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Facility Phone Number: 860 440-7812

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1295367068

Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	07D2299530
LAB Type	Other - URGENT CARE
Facility Name	HARTFORD GOHEALTH URGENT CARE - GROTON
Street	350 LONG HILL ROAD
City	GROTON
State	CT
ZIP	06340
Phone	860 440-7812
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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