07D2126562 CLIA NUMBER - EDRA STERN MD LLC

Laboratory Demographics

  • CLIA Code: 07D2126562
  • Facility Name: EDRA STERN MD LLC
  • Facility Address: 1455 EAST PUTNAM AVE
    OLD GREENWICH, CT
    ZIP 06870
  • Facility Phone: 203 661-4242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDRA L. STERN
  • NPI Number: 1164624557
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2126562
LAB Type Physician Office
Facility Name EDRA STERN MD LLC
Street 1455 EAST PUTNAM AVE
City OLD GREENWICH
State CT
ZIP 06870
Phone 203 661-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director EDRA L. STERN

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