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07D1037600 CLIA NUMBER - GRIFFIN FACULTY PHYSICIANS INC

Laboratory Demographics

CLIA Number: 07D1037600

Facility Name: GRIFFIN FACULTY PHYSICIANS INC

Facility Address:
2 IVY BROOK RD, STE 125
SHELTON, CT
ZIP 06484
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Facility Phone Number: 203 732-1330

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1598755605

Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

CLIA Record

Field Name Field Value
CLIA Number 07D1037600
LAB Type Physician Office
Facility Name GRIFFIN FACULTY PHYSICIANS INC
Street 2 IVY BROOK RD, STE 125
City SHELTON
State CT
ZIP 06484
Phone 203 732-1330
CertificateType 3
CertificateEffectiveDate 3/1/2023
CertificateExpirationDate 2/28/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024