07D2153236 CLIA NUMBER - FERNANDO BARAHONA, MD, PC

Laboratory Demographics

  • CLIA Code: 07D2153236
  • Facility Name: FERNANDO BARAHONA, MD, PC
  • Facility Address: 1747 SUMMER ST
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 424-4959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERNANDO BARAHONA
  • NPI Number: 1720590706
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2153236
LAB Type Physician Office
Facility Name FERNANDO BARAHONA, MD, PC
Street 1747 SUMMER ST
City STAMFORD
State CT
ZIP 06905
Phone 203 424-4959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director FERNANDO BARAHONA

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