07D0890115 CLIA NUMBER - ANTHONY G CICCAGLIONE MD

Laboratory Demographics

  • CLIA Code: 07D0890115
  • Facility Name: ANTHONY G CICCAGLIONE MD
  • Facility Address: 599 NEW HAVEN AVENUE SUITE 202
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 334-0727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY G. CICCAGLIONE MD
  • NPI Number: 1336664598
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0890115
LAB Type Physician Office
Facility Name ANTHONY G CICCAGLIONE MD
Street 599 NEW HAVEN AVENUE SUITE 202
City MILFORD
State CT
ZIP 06460
Phone 203 334-0727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director ANTHONY G. CICCAGLIONE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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