07D0987668 CLIA NUMBER - MARIA S GUOTH MD

Laboratory Demographics

  • CLIA Code: 07D0987668
  • Facility Name: MARIA S GUOTH MD
  • Facility Address: 420 TACONIC RD
    GREENWICH, CT
    ZIP 06831
  • Facility Phone: 203 395-2723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA S. GUOTH MD
  • NPI Number: 1356386965
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0987668
LAB Type Physician Office
Facility Name MARIA S GUOTH MD
Street 420 TACONIC RD
City GREENWICH
State CT
ZIP 06831
Phone 203 395-2723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director MARIA S. GUOTH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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