07D2258969 CLIA NUMBER - MAYEDA GYNECOLOGY PLLC

Laboratory Demographics

CLIA Number: 07D2258969

Facility Name: MAYEDA GYNECOLOGY PLLC

Facility Address:
914 HARTFORD TURNPIKE SUITE 206
WATERFORD, CT
ZIP 06385
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Facility Phone Number: 860 442-1177

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629740071

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	07D2258969
LAB Type	Physician Office
Facility Name	MAYEDA GYNECOLOGY PLLC
Street	914 HARTFORD TURNPIKE SUITE 206
City	WATERFORD
State	CT
ZIP	06385
Phone	860 442-1177
CertificateType	4
CertificateEffectiveDate	4/29/2024
CertificateExpirationDate	4/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024