07D0102314 CLIA NUMBER - OB-GYN PROFESSIONAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 07D0102314
  • Facility Name: OB-GYN PROFESSIONAL ASSOCIATES PC
  • Facility Address: 2001 WEST MAIN ST, STE 125
    STAMFORD, CT
    ZIP 06902
  • Facility Phone: 203 325-9710
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CORRINE DECHOLNOKY MD
  • NPI Number: 1013011543
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
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 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director CORRINE DECHOLNOKY MD

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This page was last updated on: 6/4/2025