07D1027117 CLIA NUMBER - STAMFORD HEALTH MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 07D1027117
  • Facility Name: STAMFORD HEALTH MEDICAL GROUP, INC
  • Facility Address: 372 DANBURY ROAD, SUITE 180 OB-GYN
    WILTON, CT
    ZIP 06897
  • Facility Phone: 203 276-4282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL FUCIGNA
  • NPI Number: 1902852445
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 07D1027117
LAB Type Physician Office
Facility Name STAMFORD HEALTH MEDICAL GROUP, INC
Street 372 DANBURY ROAD, SUITE 180 OB-GYN
City WILTON
State CT
ZIP 06897
Phone 203 276-4282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director CAROL FUCIGNA

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