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07D2071537 CLIA NUMBER - OPTIMAL WELLNESS OF WEST HARTFORD

Laboratory Demographics

CLIA Number: 07D2071537

Facility Name: OPTIMAL WELLNESS OF WEST HARTFORD

Facility Address:
1001 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
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Facility Phone Number: 860 213-8365

Facility Type: Other - WEIGHT LOSS CENTER

Certificate Type: Waiver
NPI Number: 1497127260

Taxonomy: 207QB0002X - Family Medicine
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

CLIA Record

Field Name Field Value
CLIA Number 07D2071537
LAB Type Other - WEIGHT LOSS CENTER
Facility Name OPTIMAL WELLNESS OF WEST HARTFORD
Street 1001 FARMINGTON AVE
City WEST HARTFORD
State CT
ZIP 06107
Phone 860 213-8365
CertificateType 4
CertificateEffectiveDate 1/14/2024
CertificateExpirationDate 1/13/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024