07D0954671 CLIA NUMBER - LESLIE R MILLER MD PC

Laboratory Demographics

  • CLIA Code: 07D0954671
  • Facility Name: LESLIE R MILLER MD PC
  • Facility Address: 52 BEACH ROAD SUITE 102
    FAIRFIELD, CT
    ZIP 06824
  • Facility Phone: 203 256-9905
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LESLIE R. MILLER MD
  • NPI Number: 1225241359
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0954671
LAB Type Physician Office
Facility Name LESLIE R MILLER MD PC
Street 52 BEACH ROAD SUITE 102
City FAIRFIELD
State CT
ZIP 06824
Phone 203 256-9905
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 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director LESLIE R. MILLER MD

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