07D0979044 CLIA NUMBER - MEDICAL ASSOCIATES LLC / MADHU GOWDA, MD

Laboratory Demographics

  • CLIA Code: 07D0979044
  • Facility Name: MEDICAL ASSOCIATES LLC / MADHU GOWDA, MD
  • Facility Address: 17 WESTERMAN AVENUE
    SEYMOUR, CT
    ZIP 06483
  • Facility Phone: 203 888-9340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHU S. GOWDA MD
  • NPI Number: 1578871703
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0979044
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES LLC / MADHU GOWDA, MD
Street 17 WESTERMAN AVENUE
City SEYMOUR
State CT
ZIP 06483
Phone 203 888-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director MADHU S. GOWDA MD

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