07D0095962 CLIA NUMBER - BRANFORD PEDIATRICS & ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 07D0095962
  • Facility Name: BRANFORD PEDIATRICS & ADOLESCENT MEDICINE
  • Facility Address: 784 EAST MAIN ST
    BRANFORD, CT
    ZIP 06405
  • Facility Phone: 203 481-7008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN H. GAD
  • NPI Number: 1851411169
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 07D0095962
LAB Type Physician Office
Facility Name BRANFORD PEDIATRICS & ADOLESCENT MEDICINE
Street 784 EAST MAIN ST
City BRANFORD
State CT
ZIP 06405
Phone 203 481-7008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director MARTIN H. GAD

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