07D0097361 CLIA NUMBER - PETER LICHT MD

Laboratory Demographics

  • CLIA Code: 07D0097361
  • Facility Name: PETER LICHT MD
  • Facility Address: 172 MT PLEASANT ROAD
    NEWTOWN, CT
    ZIP 06470
  • Facility Phone: 203 426-8442
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER LICHT MD
  • NPI Number: 1841267457
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0097361
LAB Type Physician Office
Facility Name PETER LICHT MD
Street 172 MT PLEASANT ROAD
City NEWTOWN
State CT
ZIP 06470
Phone 203 426-8442
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 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director PETER LICHT MD

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