07D2013704 CLIA NUMBER - COASTAL ORTHOPEDICS, PC

Laboratory Demographics

  • CLIA Code: 07D2013704
  • Facility Name: COASTAL ORTHOPEDICS, PC
  • Facility Address: 761 MAIN AVE STE 115
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 845-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN A. BAST
  • NPI Number: 1669471371
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 07D2013704
LAB Type Physician Office
Facility Name COASTAL ORTHOPEDICS, PC
Street 761 MAIN AVE STE 115
City NORWALK
State CT
ZIP 06851
Phone 203 845-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director BRIAN A. BAST

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