07D2134174 CLIA NUMBER - GRIFFIN FACULTY PHYSICIANS INC

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Field Name	Field Value
CLIA Number	07D2134174
LAB Type	Physician Office
Facility Name	GRIFFIN FACULTY PHYSICIANS INC
Street	300 SEYMOUR AVE, STE 102
City	DERBY
State	CT
ZIP	06418
Phone	203 732-1524
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	7/27/2025
Certificate Expiration Date	7/26/2027
Facility Type	Physician Office
Lab Director	XIAOLAN FEI

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