07D0936974 CLIA NUMBER - NUVANCE DARIEN PRIMARY AND SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 07D0936974
  • Facility Name: NUVANCE DARIEN PRIMARY AND SPECIALTY CARE
  • Facility Address: 36 OLD KINGS HWY SOUTH, SUITE 200
    DARIEN, CT
    ZIP 06820
  • Facility Phone: 203 852-2270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES MA
  • NPI Number: 1295039063
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0936974
LAB Type Physician Office
Facility Name NUVANCE DARIEN PRIMARY AND SPECIALTY CARE
Street 36 OLD KINGS HWY SOUTH, SUITE 200
City DARIEN
State CT
ZIP 06820
Phone 203 852-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director CHARLES MA

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