07D2235992 CLIA NUMBER - NEW PRESTON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D2235992
  • Facility Name: NEW PRESTON DERMATOLOGY
  • Facility Address: 18 EAST SHORE RD
    NEW PRESTON, CT
    ZIP 06777
  • Facility Phone: 860 339-6606
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREAS BOKER
  • NPI Number: 1407430655
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D2235992
LAB Type Physician Office
Facility Name NEW PRESTON DERMATOLOGY
Street 18 EAST SHORE RD
City NEW PRESTON
State CT
ZIP 06777
Phone 860 339-6606
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director ANDREAS BOKER

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