07D0688872 CLIA NUMBER - YOUSSEF KHAWAJA, MD

Laboratory Demographics

  • CLIA Code: 07D0688872
  • Facility Name: YOUSSEF KHAWAJA, MD
  • Facility Address: 16 CORNERSTONE COURT
    PLANTSVILLE, CT
    ZIP 06479
  • Facility Phone: 860 621-9353
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YOUSSEF KHAWAJA MD
  • NPI Number: 1184603631
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0688872
LAB Type Physician Office
Facility Name YOUSSEF KHAWAJA, MD
Street 16 CORNERSTONE COURT
City PLANTSVILLE
State CT
ZIP 06479
Phone 860 621-9353
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 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director YOUSSEF KHAWAJA MD

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