07D2092417 CLIA NUMBER - GRAND MEDICAL

Laboratory Demographics

  • CLIA Code: 07D2092417
  • Facility Name: GRAND MEDICAL
  • Facility Address: 258 GRAND AVE
    NEW HAVEN, CT
    ZIP 06513
  • Facility Phone: 914 374-3468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMEER SYED MD
  • NPI Number: 1215321666
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2092417
LAB Type Physician Office
Facility Name GRAND MEDICAL
Street 258 GRAND AVE
City NEW HAVEN
State CT
ZIP 06513
Phone 914 374-3468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director SAMEER SYED MD

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