07D0926489 CLIA NUMBER - JEFFREY D SMALL MD

Laboratory Demographics

CLIA Number: 07D0926489

Facility Name: JEFFREY D SMALL MD

Facility Address:
4695 MAIN ST
BRIDGEPORT, CT
ZIP 06606
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Facility Phone Number: 203 372-4419

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750375549

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	07D0926489
LAB Type	Physician Office
Facility Name	JEFFREY D SMALL MD
Street	4695 MAIN ST
City	BRIDGEPORT
State	CT
ZIP	06606
Phone	203 372-4419
CertificateType	3
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024