Healthcare Provider Details

I. General information

NPI: 1265817407
Provider Name (Legal Business Name): WREN LABORATORIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 E MAIN ST
BRANFORD CT
06405-2971
US

IV. Provider business mailing address

688 E MAIN ST STE 4
BRANFORD CT
06405-2971
US

V. Phone/Fax

Practice location:
  • Phone: 203-208-3458
  • Fax:
Mailing address:
  • Phone: 203-208-3458
  • Fax: 203-648-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberCL0704
License Number StateCT

VIII. Authorized Official

Name: JENNIFER DOWNER
Title or Position: MANAGING MEMBER
Credential:
Phone: 203-208-3464