CLIA lab
CLIA 07D0890251: Village Square Internal Medicine
Bethel, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D0890251 belongs to Village Square Internal Medicine in Bethel, CT.
Certificate for Provider-Performed Microscopy Procedures, effective January 13, 2026, expires January 12, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- January 13, 2026
- Certificate expiration
- January 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D0890251
- Lab name
- Village Square Internal Medicine
- Additional name
- Prohealth Physicians
- Address
- 2 Elizabeth Street, Bethel, CT 06801
- Phone
- (203) 791-2221
- Fax
- (203) 791-7265
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bethel, CT
- Bethel Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility07D0883538
- Bethel Public SchoolsCertificate of Waiver, School or student health service07D0884876
- CT Medical Group Inc - BethelCertificate of Waiver, Physician office07D2151309
- Cascades Assisted Living Facility, theCertificate of Waiver, Assisted living facility07D2198169
- MC Diagnostic of Connecticut, PC #1109Certificate of Waiver, Other07D2059388
- Maplewood at Stony HillCertificate of Waiver, Assisted living facility07D2194552
- Minuteclinic Primary Care-Connecticut,Certificate of Waiver, Other07D2322705
- Prohealth PhysiciansCertificate of Waiver, Physician office07D2305050
- Stony Hill Volunteer Fire CompanyCertificate of Waiver, Ambulance07D2114707
Related
Questions
What is the CLIA number for Village Square Internal Medicine in Bethel?
07D0890251, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Village Square Internal Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 07D0890251 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.