07D1041461 CLIA NUMBER - ORANGE INTERNAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 07D1041461
  • Facility Name: ORANGE INTERNAL MEDICINE, LLC
  • Facility Address: 240 INDIAN RIVER RD SUITE C2
    ORANGE, CT
    ZIP 06477
  • Facility Phone: 203 795-3617
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASIHA FAHMI MD
  • NPI Number: 1518051002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1041461
LAB Type Physician Office
Facility Name ORANGE INTERNAL MEDICINE, LLC
Street 240 INDIAN RIVER RD SUITE C2
City ORANGE
State CT
ZIP 06477
Phone 203 795-3617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director NASIHA FAHMI MD

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