07D0903388 CLIA NUMBER - CONNECTICUT COASTAL OB/GYN, PC

Laboratory Demographics

  • CLIA Code: 07D0903388
  • Facility Name: CONNECTICUT COASTAL OB/GYN, PC
  • Facility Address: 326 WEST MAIN ST, STE 207
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 250-2125
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAYME SHORE
  • NPI Number: 1407302854
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0903388
LAB Type Physician Office
Facility Name CONNECTICUT COASTAL OB/GYN, PC
Street 326 WEST MAIN ST, STE 207
City MILFORD
State CT
ZIP 06460
Phone 203 250-2125
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 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director RAYME SHORE

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