07D0690995 CLIA NUMBER - FRED E SANTORO MD FAAP

Laboratory Demographics

  • CLIA Code: 07D0690995
  • Facility Name: FRED E SANTORO MD FAAP
  • Facility Address: FLANDERS PLAZA STE 214 PO BOX 159
    EAST LYME, CT
    ZIP 06333
  • Facility Phone: 860 739-0404
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRED E. SANTORO MD
  • NPI Number: 1639269970
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0690995
LAB Type Physician Office
Facility Name FRED E SANTORO MD FAAP
Street FLANDERS PLAZA STE 214 PO BOX 159
City EAST LYME
State CT
ZIP 06333
Phone 860 739-0404
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director FRED E. SANTORO MD

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