07D2280086 CLIA NUMBER - AUGUST PRIMARY CARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 07D2280086
  • Facility Name: AUGUST PRIMARY CARE CLINIC LLC
  • Facility Address: 909 FARMINGTON AVENUE
    NEW BRITAIN, CT
    ZIP 06053
  • Facility Phone: 860 612-8196
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: OLUSOLA A. OBASA
  • NPI Number: 1144931452
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 07D2280086
LAB Type Practitioner Other
Facility Name AUGUST PRIMARY CARE CLINIC LLC
Street 909 FARMINGTON AVENUE
City NEW BRITAIN
State CT
ZIP 06053
Phone 860 612-8196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Practitioner Other
Lab Director OLUSOLA A. OBASA

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