07D0098763 CLIA NUMBER - AFFILIATED FOOT SURGEONS, PC

Laboratory Demographics

  • CLIA Code: 07D0098763
  • Facility Name: AFFILIATED FOOT SURGEONS, PC
  • Facility Address: 508 BLAKE ST
    NEW HAVEN, CT
    ZIP 06515
  • Facility Phone: 203 397-0624
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JAMES H. BLUME
  • NPI Number: 1760690572
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 07D0098763
LAB Type Practitioner Other
Facility Name AFFILIATED FOOT SURGEONS, PC
Street 508 BLAKE ST
City NEW HAVEN
State CT
ZIP 06515
Phone 203 397-0624
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 Practitioner Other
Lab Director JAMES H. BLUME

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