07D2124643 CLIA NUMBER - MW WELLNESS II, LLC

Laboratory Demographics

  • CLIA Code: 07D2124643
  • Facility Name: MW WELLNESS II, LLC
  • Facility Address: 99 FARMINGTON AVE, SUITE 15
    BRISTOL, CT
    ZIP 06010
  • Facility Phone: 860 516-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENEE PRINCE
  • NPI Number: 1558819201
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D2124643
LAB Type Physician Office
Facility Name MW WELLNESS II, LLC
Street 99 FARMINGTON AVE, SUITE 15
City BRISTOL
State CT
ZIP 06010
Phone 860 516-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director RENEE PRINCE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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