07D2252208 CLIA NUMBER - RADIANCE MD, THE

Laboratory Demographics

  • CLIA Code: 07D2252208
  • Facility Name: RADIANCE MD, THE
  • Facility Address: 291 S LAMBERT RD, STE 5
    ORANGE, CT
    ZIP 06477
  • Facility Phone: 203 553-9537
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERIF A. SALEH
  • NPI Number: 1265190946
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2252208
LAB Type Physician Office
Facility Name RADIANCE MD, THE
Street 291 S LAMBERT RD, STE 5
City ORANGE
State CT
ZIP 06477
Phone 203 553-9537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director SHERIF A. SALEH

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