Organization
ST OF CT DEPT. OF PUBLIC HEALTH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE KELLEY (LABORATORY DIRECTOR)
(860) 509-8500
Entity
Organization
Contact information
Practice address
10 CLINTON ST, HARTFORD, CT 06106-1624
(860) 509-8500
Mailing address
PO BOX 1689, HARTFORD, CT 06144-1689
(860) 509-8500
(860) 509-8697
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL-0197
CT
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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