07D0871748 CLIA NUMBER - NUVANCE RIDGEFIELD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 07D0871748
  • Facility Name: NUVANCE RIDGEFIELD PRIMARY CARE
  • Facility Address: 21 SOUTH STREET
    RIDGEFIELD, CT
    ZIP 06877
  • Facility Phone: 203 438-6541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IONUT A. MOSTEANU
  • NPI Number: 1659068005
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 07D0871748
LAB Type Physician Office
Facility Name NUVANCE RIDGEFIELD PRIMARY CARE
Street 21 SOUTH STREET
City RIDGEFIELD
State CT
ZIP 06877
Phone 203 438-6541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director IONUT A. MOSTEANU

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