07D2247141 CLIA NUMBER - MW WELLNESS XV, LLC

Laboratory Demographics

  • CLIA Code: 07D2247141
  • Facility Name: MW WELLNESS XV, LLC
  • Facility Address: 67 FEDERAL RD, BLDG B, STE 100
    BROOKFIELD, CT
    ZIP 06804
  • Facility Phone: 813 228-6334
  • Facility Type: Other - MEDICAL WEIGHT LOSS
  • Facility Type: Waiver
  • Lab Director: CRAIG HUTTLER
  • NPI Number: 1518405737
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2247141
LAB Type Other - MEDICAL WEIGHT LOSS
Facility Name MW WELLNESS XV, LLC
Street 67 FEDERAL RD, BLDG B, STE 100
City BROOKFIELD
State CT
ZIP 06804
Phone 813 228-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Other - MEDICAL WEIGHT LOSS
Lab Director CRAIG HUTTLER

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