07D2295071 CLIA NUMBER - PRIMA PRIMARY CARE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 07D2295071
  • Facility Name: PRIMA PRIMARY CARE AND WELLNESS
  • Facility Address: 501 KINGS HIGHWAY EAST SUITE 106
    FAIRFIELD, CT
    ZIP 06825
  • Facility Phone: 203 819-1203
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARLEENA ANN DIMAGGIO
  • NPI Number: 1962278440
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2295071
LAB Type Practitioner Other
Facility Name PRIMA PRIMARY CARE AND WELLNESS
Street 501 KINGS HIGHWAY EAST SUITE 106
City FAIRFIELD
State CT
ZIP 06825
Phone 203 819-1203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Practitioner Other
Lab Director MARLEENA ANN DIMAGGIO

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