07D0101951 CLIA NUMBER - CONNECTICUT DERMATOLOGY GROUP PC

Laboratory Demographics

  • CLIA Code: 07D0101951
  • Facility Name: CONNECTICUT DERMATOLOGY GROUP PC
  • Facility Address: 761 MAIN AVENUE, BLDG-A
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 810-4151
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEVEN A. KOLENIK III
  • NPI Number: 1972607893
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D0101951
LAB Type Physician Office
Facility Name CONNECTICUT DERMATOLOGY GROUP PC
Street 761 MAIN AVENUE, BLDG-A
City NORWALK
State CT
ZIP 06851
Phone 203 810-4151
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 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director STEVEN A. KOLENIK III

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