07D0933848 CLIA NUMBER - FRANK J MONGILLO III MD

Laboratory Demographics

  • CLIA Code: 07D0933848
  • Facility Name: FRANK J MONGILLO III MD
  • Facility Address: 26 ELM STREET
    NEW HAVEN, CT
    ZIP 06510
  • Facility Phone: 203 776-6845
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK J. MONGILLO III MD
  • NPI Number: 1811917289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0933848
LAB Type Physician Office
Facility Name FRANK J MONGILLO III MD
Street 26 ELM STREET
City NEW HAVEN
State CT
ZIP 06510
Phone 203 776-6845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director FRANK J. MONGILLO III MD

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