07D0096503 CLIA NUMBER - FAIRFIELD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D0096503
  • Facility Name: FAIRFIELD DERMATOLOGY
  • Facility Address: 1305 POST RD STE 310
    FAIRFIELD, CT
    ZIP 06824
  • Facility Phone: 203 259-7709
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: YESUL KIM
  • NPI Number: 1851488191
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D0096503
LAB Type Physician Office
Facility Name FAIRFIELD DERMATOLOGY
Street 1305 POST RD STE 310
City FAIRFIELD
State CT
ZIP 06824
Phone 203 259-7709
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director YESUL KIM

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