07D0998890 CLIA NUMBER - ERIC FAN MD LLC

Laboratory Demographics

  • CLIA Code: 07D0998890
  • Facility Name: ERIC FAN MD LLC
  • Facility Address: 9 WASHINGTON AVE, STE 204
    HAMDEN, CT
    ZIP 06518
  • Facility Phone: 203 867-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC FAN MD
  • NPI Number: 1114966561
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0998890
LAB Type Physician Office
Facility Name ERIC FAN MD LLC
Street 9 WASHINGTON AVE, STE 204
City HAMDEN
State CT
ZIP 06518
Phone 203 867-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director ERIC FAN MD

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