07D2262506 CLIA NUMBER - YOUNG SKIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 07D2262506
  • Facility Name: YOUNG SKIN DERMATOLOGY
  • Facility Address: 123 HIGH RIDGE ST
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 475 400-9456
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: SARYNA P. YOUNG
  • NPI Number: 1477175966
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 07D2262506
LAB Type Independent
Facility Name YOUNG SKIN DERMATOLOGY
Street 123 HIGH RIDGE ST
City STAMFORD
State CT
ZIP 06905
Phone 475 400-9456
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Independent
Lab Director SARYNA P. YOUNG

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