07D0926489 CLIA NUMBER - JEFFREY D SMALL MD

Laboratory Demographics

  • CLIA Code: 07D0926489
  • Facility Name: JEFFREY D SMALL MD
  • Facility Address: 4695 MAIN ST
    BRIDGEPORT, CT
    ZIP 06606
  • Facility Phone: 203 372-4419
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY D. SMALL MD
  • NPI Number: 1750375549
  • Taxonomy: 208800000X - Urology

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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
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 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director JEFFREY D. SMALL MD

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