07D2262550 CLIA NUMBER - GANDELMAN CARDIOLOGY, PC

Laboratory Demographics

  • CLIA Code: 07D2262550
  • Facility Name: GANDELMAN CARDIOLOGY, PC
  • Facility Address: 81 HOLLY HILL LN 3RD FLR
    GREENWICH, CT
    ZIP 06830
  • Facility Phone: 203 869-5515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN GANDELMAN
  • NPI Number: 1629264353
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2262550
LAB Type Physician Office
Facility Name GANDELMAN CARDIOLOGY, PC
Street 81 HOLLY HILL LN 3RD FLR
City GREENWICH
State CT
ZIP 06830
Phone 203 869-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director GLENN GANDELMAN

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