07D0973463 CLIA NUMBER - ILLUME FERTILITY

Laboratory Demographics

  • CLIA Code: 07D0973463
  • Facility Name: ILLUME FERTILITY
  • Facility Address: 761 MAIN AVE, STE 200
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 750-7434
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK P. LEONDIRES
  • NPI Number: 1013086727
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 07D0973463
LAB Type Physician Office
Facility Name ILLUME FERTILITY
Street 761 MAIN AVE, STE 200
City NORWALK
State CT
ZIP 06851
Phone 203 750-7434
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director MARK P. LEONDIRES

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