07D2138110 CLIA NUMBER - GENESIS MEDICA

Laboratory Demographics

  • CLIA Code: 07D2138110
  • Facility Name: GENESIS MEDICA
  • Facility Address: 889 BRIDGEPORT AVE
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 693-2230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY AGGARWAL
  • NPI Number: 1295253110
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2138110
LAB Type Physician Office
Facility Name GENESIS MEDICA
Street 889 BRIDGEPORT AVE
City MILFORD
State CT
ZIP 06460
Phone 203 693-2230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director SANJAY AGGARWAL

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