07D0942061 CLIA NUMBER - IRENE F MOREIRA MD

Laboratory Demographics

  • CLIA Code: 07D0942061
  • Facility Name: IRENE F MOREIRA MD
  • Facility Address: 246 FEDERAL ROAD SUITE C-31A
    BROOKFIELD, CT
    ZIP 06804
  • Facility Phone: 203 775-8220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRENE F. MOREIRA MD
  • NPI Number: 1235160318
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0942061
LAB Type Physician Office
Facility Name IRENE F MOREIRA MD
Street 246 FEDERAL ROAD SUITE C-31A
City BROOKFIELD
State CT
ZIP 06804
Phone 203 775-8220
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 IRENE F. MOREIRA MD

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