07D0102314 CLIA NUMBER - OB-GYN PROFESSIONAL ASSOCIATES PC

Laboratory Demographics

CLIA Number: 07D0102314

Facility Name: OB-GYN PROFESSIONAL ASSOCIATES PC

Facility Address:
2001 WEST MAIN ST, STE 125
STAMFORD, CT
ZIP 06902
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Facility Phone Number: 203 325-9710

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1013011543

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	07D0102314
LAB Type	Physician Office
Facility Name	OB-GYN PROFESSIONAL ASSOCIATES PC
Street	2001 WEST MAIN ST, STE 125
City	STAMFORD
State	CT
ZIP	06902
Phone	203 325-9710
CertificateType	3
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024