07D0095506 CLIA NUMBER - INTEGRATIVE WELLNESS CENTER, LLC D/B/A: NATURA MEDICA

Laboratory Demographics

  • CLIA Code: 07D0095506
  • Facility Name: INTEGRATIVE WELLNESS CENTER, LLC D/B/A: NATURA MEDICA
  • Facility Address: 12 ROOSEVELT AVE
    MYSTIC, CT
    ZIP 06355
  • Facility Phone: 860 572-9566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA A. MUNRO
  • NPI Number: 1801353735
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 07D0095506
LAB Type Physician Office
Facility Name INTEGRATIVE WELLNESS CENTER, LLC D/B/A: NATURA MEDICA
Street 12 ROOSEVELT AVE
City MYSTIC
State CT
ZIP 06355
Phone 860 572-9566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director LAURA A. MUNRO

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