07D2308583 CLIA NUMBER - ANGELO MALLOZZI, MD, PC

Laboratory Demographics

  • CLIA Code: 07D2308583
  • Facility Name: ANGELO MALLOZZI, MD, PC
  • Facility Address: 90 MORGAN ST, STE 102
    STAMFORD, CT
    ZIP 06905
  • Facility Phone: 203 298-4381
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ANGELO MALLOZZI
  • NPI Number: 1689768558
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2308583
LAB Type Independent
Facility Name ANGELO MALLOZZI, MD, PC
Street 90 MORGAN ST, STE 102
City STAMFORD
State CT
ZIP 06905
Phone 203 298-4381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Independent
Lab Director ANGELO MALLOZZI

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