CLIA lab
CLIA 07D2175270: 4 Elements Direct Primary Care LLC
South Windsor, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2175270 belongs to 4 Elements Direct Primary Care LLC in South Windsor, CT.
Certificate of Waiver, effective November 19, 2025, expires November 18, 2027.
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
- November 19, 2025
- Certificate expiration
- November 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2175270
- Lab name
- 4 Elements Direct Primary Care LLC
- Address
- 1300 Sullivan Ave, South Windsor, CT 06074
- Phone
- (860) 469-5646
- Fax
- (860) 310-1122
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.
Affiliated CLIA numbers
Other labs in South Windsor, CT
- AltoCertificate of Waiver, Assisted living facility07D2227790
- Bal Windsor, LLCCertificate of Waiver, Assisted living facility07D1056946
- Brookdale South WindsorCertificate of Waiver, Assisted living facility07D2120279
- CT Women ObgynCertificate for Provider-Performed Microscopy Procedures, Physician office07D1057180
- Central Connecticut DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office07D2284346
- Collins Medical Associates 2 PCCertificate of Waiver, Physician office07D0093501
- Collins Medical Associates 2 PCCertificate of Waiver, Physician office07D2136225
- Connecticut Gi, PCCertificate of Waiver, Physician office07D2262309
- Eastern Connecticut Physician Associates, LLCCertificate of Waiver, Physician office07D2063214
- Evergreen Endoscopy Center LLCCertificate of Waiver, Other07D1085306
Related
Questions
What is the CLIA number for 4 Elements Direct Primary Care LLC in South Windsor?
07D2175270, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 4 Elements Direct Primary Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2175270 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.