07D0940019 CLIA NUMBER - DOCTORS OFFICE CT PLLC

Laboratory Demographics

  • CLIA Code: 07D0940019
  • Facility Name: DOCTORS OFFICE CT PLLC
  • Facility Address: 90 MORGAN STREET SUITE 103
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 325-2120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHAN K. SHAJAN
  • NPI Number: 1962997940
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0940019
LAB Type Physician Office
Facility Name DOCTORS OFFICE CT PLLC
Street 90 MORGAN STREET SUITE 103
City STAMFORD
State CT
ZIP 06905
Phone 203 325-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director JOSHAN K. SHAJAN

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