07D0916540 CLIA NUMBER - MATERNAL FETAL CARE PC

Laboratory Demographics

  • CLIA Code: 07D0916540
  • Facility Name: MATERNAL FETAL CARE PC
  • Facility Address: 1275 SUMMER ST, SUITE 306
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 978-5775
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD R. VISCARELLO MD
  • NPI Number: 1144354002
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 07D0916540
LAB Type Physician Office
Facility Name MATERNAL FETAL CARE PC
Street 1275 SUMMER ST, SUITE 306
City STAMFORD
State CT
ZIP 06905
Phone 203 978-5775
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 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director RICHARD R. VISCARELLO MD

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