07D0936188 CLIA NUMBER - DEBRA R MILLER MD LLC

Laboratory Demographics

  • CLIA Code: 07D0936188
  • Facility Name: DEBRA R MILLER MD LLC
  • Facility Address: 53 GRANITE STREET SUITE D
    NEW LONDON, CT
    ZIP 06320
  • Facility Phone: 860 447-1419
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBRA R. MILLER MD
  • NPI Number: 1558369215
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D0936188
LAB Type Physician Office
Facility Name DEBRA R MILLER MD LLC
Street 53 GRANITE STREET SUITE D
City NEW LONDON
State CT
ZIP 06320
Phone 860 447-1419
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 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director DEBRA R. MILLER MD

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