07D2317700 CLIA NUMBER - FARMINGTON VALLEY DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 07D2317700
  • Facility Name: FARMINGTON VALLEY DIRECT PRIMARY CARE
  • Facility Address: 30 WEST AVON RD, STE E
    AVON, CT
    ZIP 06001
  • Facility Phone: 860 269-3002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY CHIU
  • NPI Number: 1679379747
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2317700
LAB Type Physician Office
Facility Name FARMINGTON VALLEY DIRECT PRIMARY CARE
Street 30 WEST AVON RD, STE E
City AVON
State CT
ZIP 06001
Phone 860 269-3002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director JUDY CHIU

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