07D0688214 CLIA NUMBER - CITY OF STAMFORD DEPARTMENT OF HEALTH LAB

Laboratory Demographics

CLIA Number: 07D0688214

Facility Name: CITY OF STAMFORD DEPARTMENT OF HEALTH LAB

Facility Address:
888 WASHINGTON BLVD 8TH FLR
STAMFORD, CT
ZIP 06901
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Facility Phone Number: 203 977-4378

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1396885182

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 07D0688214
LAB Type Public Health Laboratories
Facility Name CITY OF STAMFORD DEPARTMENT OF HEALTH LAB
Street 888 WASHINGTON BLVD 8TH FLR
City STAMFORD
State CT
ZIP 06901
Phone 203 977-4378
CertificateType 4
CertificateEffectiveDate 5/11/2024
CertificateExpirationDate 5/10/2026
FacilityType Waiver

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