07D2308885 CLIA NUMBER - VALUE IN PREVENTION OF CONNECTICUT, PLLC

Laboratory Demographics

  • CLIA Code: 07D2308885
  • Facility Name: VALUE IN PREVENTION OF CONNECTICUT, PLLC
  • Facility Address: 11 MAIN STREET SUITE 11-205
    MYSTIC, CT
    ZIP 06355
  • Facility Phone: 561 982-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN J. NELSON
  • NPI Number: 1952080665
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2308885
LAB Type Physician Office
Facility Name VALUE IN PREVENTION OF CONNECTICUT, PLLC
Street 11 MAIN STREET SUITE 11-205
City MYSTIC
State CT
ZIP 06355
Phone 561 982-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director JOHN J. NELSON

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This page was last updated on: 6/4/2025