07D1105416 CLIA NUMBER - LONG RIDGE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D1105416
  • Facility Name: LONG RIDGE DERMATOLOGY
  • Facility Address: 1051 LONG RIDGE RD
    STAMFORD, CT
    ZIP 06903
  • Facility Phone: 203 329-7960
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DONALD A. SAVITZ
  • NPI Number: 1326100553
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 07D1105416
LAB Type Physician Office
Facility Name LONG RIDGE DERMATOLOGY
Street 1051 LONG RIDGE RD
City STAMFORD
State CT
ZIP 06903
Phone 203 329-7960
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director DONALD A. SAVITZ

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