07D0096243 CLIA NUMBER - ALEXANDER A CARRESE MD

Laboratory Demographics

  • CLIA Code: 07D0096243
  • Facility Name: ALEXANDER A CARRESE MD
  • Facility Address: 299 SEYMOUR AVE
    DERBY, CT
    ZIP 06418
  • Facility Phone: 203 735-3347
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXANDER A. CARRESE MD
  • NPI Number: 1720170616
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 07D0096243
LAB Type Physician Office
Facility Name ALEXANDER A CARRESE MD
Street 299 SEYMOUR AVE
City DERBY
State CT
ZIP 06418
Phone 203 735-3347
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALEXANDER A. CARRESE MD

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