07D2314496 CLIA NUMBER - MIND DYNAMICS, LLC

Laboratory Demographics

  • CLIA Code: 07D2314496
  • Facility Name: MIND DYNAMICS, LLC
  • Facility Address: 17 FARMINGTON UNIT B M-4
    PLAINVILLE, CT
    ZIP 06062
  • Facility Phone: 860 222-7371
  • Facility Type: Other - OUTPATIENT SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOSEPH FORSYTH
  • NPI Number: 1538889936
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2314496
LAB Type Other - OUTPATIENT SUD TREATMENT
Facility Name MIND DYNAMICS, LLC
Street 17 FARMINGTON UNIT B M-4
City PLAINVILLE
State CT
ZIP 06062
Phone 860 222-7371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other - OUTPATIENT SUD TREATMENT
Lab Director JOSEPH FORSYTH

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