07D2117686 CLIA NUMBER - OMAR A IBRAHIMI MD PHD LLC

Laboratory Demographics

  • CLIA Code: 07D2117686
  • Facility Name: OMAR A IBRAHIMI MD PHD LLC
  • Facility Address: 60 COMMERCE PARK STE C
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 428-4440
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: OMAR A. IBRAHIMI MD PHD
  • NPI Number: 1013263847
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D2117686
LAB Type Physician Office
Facility Name OMAR A IBRAHIMI MD PHD LLC
Street 60 COMMERCE PARK STE C
City MILFORD
State CT
ZIP 06460
Phone 203 428-4440
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 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director OMAR A. IBRAHIMI MD PHD

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This page was last updated on: 6/4/2025