07D2296807 CLIA NUMBER - NOVA MD WELLNESS CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 07D2296807
  • Facility Name: NOVA MD WELLNESS CLINIC PLLC
  • Facility Address: 148 EAST AVE, STE 1G1
    NORWALK, CT
    ZIP 06851
  • Facility Phone: 203 684-2050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASMINA KRSTIC
  • NPI Number: 1790554285
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2296807
LAB Type Physician Office
Facility Name NOVA MD WELLNESS CLINIC PLLC
Street 148 EAST AVE, STE 1G1
City NORWALK
State CT
ZIP 06851
Phone 203 684-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director JASMINA KRSTIC

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