07D2176981 CLIA NUMBER - WELLNESS PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 07D2176981
  • Facility Name: WELLNESS PRIMARY CARE PLLC
  • Facility Address: 100 MARKET SQ, STE - 2
    NEWINGTON, CT
    ZIP 06111
  • Facility Phone: 203 674-9433
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VIVIAN HUYNH DNP
  • NPI Number: 1982179784
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2176981
LAB Type Practitioner Other
Facility Name WELLNESS PRIMARY CARE PLLC
Street 100 MARKET SQ, STE - 2
City NEWINGTON
State CT
ZIP 06111
Phone 203 674-9433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Practitioner Other
Lab Director VIVIAN HUYNH DNP

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