07D0941015 CLIA NUMBER - IRENE NASADUKE MD

Laboratory Demographics

  • CLIA Code: 07D0941015
  • Facility Name: IRENE NASADUKE MD
  • Facility Address: 1150 SUMMER ST
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 357-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRENE NASADUKE
  • NPI Number: 1114055217
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 07D0941015
LAB Type Physician Office
Facility Name IRENE NASADUKE MD
Street 1150 SUMMER ST
City STAMFORD
State CT
ZIP 06905
Phone 203 357-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director IRENE NASADUKE

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