07D2272046 CLIA NUMBER - OBGYN PHYSICIANS - PWH DIV 70

Laboratory Demographics

  • CLIA Code: 07D2272046
  • Facility Name: OBGYN PHYSICIANS - PWH DIV 70
  • Facility Address: 1 NEW HAVEN AVE, STE 101
    MILFORD, CT
    ZIP 06460
  • Facility Phone: 203 877-5634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAY KOUROUNIS
  • NPI Number: 1336454016
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 07D2272046
LAB Type Physician Office
Facility Name OBGYN PHYSICIANS - PWH DIV 70
Street 1 NEW HAVEN AVE, STE 101
City MILFORD
State CT
ZIP 06460
Phone 203 877-5634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director KAY KOUROUNIS

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