07D2327602 CLIA NUMBER - HOCKANUM VALLEY COMMUNITY COUNCIL, INC

Laboratory Demographics

  • CLIA Code: 07D2327602
  • Facility Name: HOCKANUM VALLEY COMMUNITY COUNCIL, INC
  • Facility Address: 700 MAIN STREET SUITE 2
    WILLIMANTIC, CT
    ZIP 06226
  • Facility Phone: (860) 872-9825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA P. OUELLETTE
  • NPI Number: 1336179480
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2327602
LAB Type Physician Office
Facility Name HOCKANUM VALLEY COMMUNITY COUNCIL, INC
Street 700 MAIN STREET SUITE 2
City WILLIMANTIC
State CT
ZIP 06226
Phone 8608729825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director THERESA P. OUELLETTE

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: 6/29/2026