CLIA lab
CLIA 07D2051700: Bal Mystic, LLC
Mystic, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2051700 belongs to Bal Mystic, LLC in Mystic, CT.
Certificate of Waiver, effective December 26, 2024, expires December 25, 2026.
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 of Waiver
- Certificate effective
- December 26, 2024
- Certificate expiration
- December 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 26, 2012
- Facility type
- Assisted living facility
- 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
- 07D2051700
- Lab name
- Bal Mystic, LLC
- Address
- 20 Academy Lane, Attn Salsa/rcd, Mystic, CT 06355
- Phone
- (860) 536-1133
- Fax
- (860) 536-2245
Annual test volume the lab reported
- Waived tests
- 5,110
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mystic, CT
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- Apple Rehab MysticCertificate of Waiver, Skilled nursing or nursing facility07D0095514
- Avalon Health Care Center at StoneridgeCertificate of Waiver, Skilled nursing or nursing facility07D1030676
- David Schwindt, MD, LLCCertificate of Waiver, Physician office07D1061991
- Mystic Fire DepartmentCertificate of Waiver, Other07D2114385
- Mystic Healthcare and Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility07D0709627
- Old Mystic Fire DepartmentCertificate of Waiver, Other07D2114176
- Pendleton Rehabilitation and Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility07D0678488
- Seaport Dermatology Mohs Surgery CenterCertificate of Compliance, Physician office07D1057164
- Senior Living By MasonicareCertificate of Waiver, Assisted living facility07D2211035
Related
Questions
What is the CLIA number for Bal Mystic, LLC in Mystic?
07D2051700, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bal Mystic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2051700 expire?
The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.