07D2326053 CLIA NUMBER - HEALTH AND WELLNESS OF FAIRFIELD, LLC DBA-MEDI-WEIGHTLOSS

Laboratory Demographics

  • CLIA Code: 07D2326053
  • Facility Name: HEALTH AND WELLNESS OF FAIRFIELD, LLC DBA-MEDI-WEIGHTLOSS
  • Facility Address: 55 WALLS DR, STE 307
    FAIRFIELD, CT
    ZIP 06824
  • Facility Phone: 203 763-1700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAREN M. LAVIN
  • NPI Number: 1891205761
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 07D2326053
LAB Type Practitioner Other
Facility Name HEALTH AND WELLNESS OF FAIRFIELD, LLC DBA-MEDI-WEIGHTLOSS
Street 55 WALLS DR, STE 307
City FAIRFIELD
State CT
ZIP 06824
Phone 203 763-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Practitioner Other
Lab Director KAREN M. LAVIN

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