07D0098624 CLIA NUMBER - PEDIATRIC & MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 07D0098624
  • Facility Name: PEDIATRIC & MEDICAL ASSOCIATES PC
  • Facility Address: 1 LONG WHARF DR, SUITE 105
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 865-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD ANGOFF
  • NPI Number: 1053464487
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0098624
LAB Type Physician Office
Facility Name PEDIATRIC & MEDICAL ASSOCIATES PC
Street 1 LONG WHARF DR, SUITE 105
City NEW HAVEN
State CT
ZIP 06511
Phone 203 865-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director RONALD ANGOFF

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