07D2045945 CLIA NUMBER - OMAR A IBRAHIMI MD,PHD, LLC

Laboratory Demographics

  • CLIA Code: 07D2045945
  • Facility Name: OMAR A IBRAHIMI MD,PHD, LLC
  • Facility Address: 2777 SUMMER ST STE 600
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: (203) 428-4440
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. OMAR A. IBRAHIMI MD PHD
  • NPI Number: 1013263847
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D2045945
LAB Type Physician Office
Facility Name OMAR A IBRAHIMI MD,PHD, LLC
Street 2777 SUMMER ST STE 600
City STAMFORD
State CT
ZIP 06905
Phone 2034284440
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 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director DR. OMAR A. IBRAHIMI MD PHD

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