07D1003191 CLIA NUMBER - PEDIATRIC PRACTICE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 07D1003191
  • Facility Name: PEDIATRIC PRACTICE ASSOCIATES
  • Facility Address: 1515 SUMMER STREET SUITE 101
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 323-8171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNN L. CUNADO
  • NPI Number: 1831386317
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D1003191
LAB Type Physician Office
Facility Name PEDIATRIC PRACTICE ASSOCIATES
Street 1515 SUMMER STREET SUITE 101
City STAMFORD
State CT
ZIP 06905
Phone 203 323-8171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director LYNN L. CUNADO

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