07D1016693 CLIA NUMBER - STAMFORD HEALTH MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 07D1016693
  • Facility Name: STAMFORD HEALTH MEDICAL GROUP, INC
  • Facility Address: 90 MORGAN STREET, SUITE (105, 107 AND 108)
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 359-9997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRISTINA MALLOZZI
  • NPI Number: 1942694823
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 07D1016693
LAB Type Physician Office
Facility Name STAMFORD HEALTH MEDICAL GROUP, INC
Street 90 MORGAN STREET, SUITE (105, 107 AND 108)
City STAMFORD
State CT
ZIP 06905
Phone 203 359-9997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director CRISTINA MALLOZZI

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