07D2161481 CLIA NUMBER - CT OPTIMAL WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 07D2161481
  • Facility Name: CT OPTIMAL WELLNESS, LLC
  • Facility Address: 115 TECHNOLOGY DRIVE
    TRUMBULL, CT
    ZIP 06611
  • Facility Phone: 203 318-6610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIZA F. PETRE
  • NPI Number: 1770014656
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2161481
LAB Type Physician Office
Facility Name CT OPTIMAL WELLNESS, LLC
Street 115 TECHNOLOGY DRIVE
City TRUMBULL
State CT
ZIP 06611
Phone 203 318-6610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director LUIZA F. PETRE

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