07D0102547 CLIA NUMBER - VIPULKUMAR BHALODIYA MD

Laboratory Demographics

  • CLIA Code: 07D0102547
  • Facility Name: VIPULKUMAR BHALODIYA MD
  • Facility Address: 555 NEWFIELD AVE, STE B
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 324-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIPULKUMAR BHALODIYA MD
  • NPI Number: 1386701639
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0102547
LAB Type Physician Office
Facility Name VIPULKUMAR BHALODIYA MD
Street 555 NEWFIELD AVE, STE B
City STAMFORD
State CT
ZIP 06905
Phone 203 324-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director VIPULKUMAR BHALODIYA MD

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