07D0097037 CLIA NUMBER - MONTANO WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 07D0097037
  • Facility Name: MONTANO WELLNESS LLC
  • Facility Address: 160 WEST ST STE 1A
    CROMWELL, CT
    ZIP 06416
  • Facility Phone: 860 632-0144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: C BRENDAN MONTANO MD
  • NPI Number: 1740776954
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0097037
LAB Type Physician Office
Facility Name MONTANO WELLNESS LLC
Street 160 WEST ST STE 1A
City CROMWELL
State CT
ZIP 06416
Phone 860 632-0144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director C BRENDAN MONTANO MD

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