07D1074068 CLIA NUMBER - STAMFORD HEALTH MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 07D1074068
  • Facility Name: STAMFORD HEALTH MEDICAL GROUP, INC
  • Facility Address: 292 LONG RIDGE ROAD, SUITE 203
    STAMFORD, CT
    ZIP 06902
  • Facility Phone: (203) 324-7666
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REVEKKA BABAYEV
  • NPI Number: 1205130077
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D1074068
LAB Type Physician Office
Facility Name STAMFORD HEALTH MEDICAL GROUP, INC
Street 292 LONG RIDGE ROAD, SUITE 203
City STAMFORD
State CT
ZIP 06902
Phone 2033247666
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director REVEKKA BABAYEV

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This page was last updated on: 5/18/2026