07D0955204 CLIA NUMBER - MILFORD DIALYSIS

Laboratory Demographics

  • CLIA Code: 07D0955204
  • Facility Name: MILFORD DIALYSIS
  • Facility Address: 470 BRIDGEPORT AVENUE
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 335-0191
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRWIN D. FEINTZEIG, MD
  • NPI Number: 1619987377
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0955204
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILFORD DIALYSIS
Street 470 BRIDGEPORT AVENUE
City MILFORD
State CT
ZIP 06460
Phone 203 335-0191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRWIN D. FEINTZEIG, MD

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This page was last updated on: 6/4/2025