07D0093227 CLIA NUMBER - ELLEN L MARMER MD

Laboratory Demographics

  • CLIA Code: 07D0093227
  • Facility Name: ELLEN L MARMER MD
  • Facility Address: 520 HARTFORD TURNPIKE
    VERNON, CT
    ZIP 06066
  • Facility Phone: 860 870-9366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN L. MARMER MD
  • NPI Number: 1336116086
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D0093227
LAB Type Physician Office
Facility Name ELLEN L MARMER MD
Street 520 HARTFORD TURNPIKE
City VERNON
State CT
ZIP 06066
Phone 860 870-9366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director ELLEN L. MARMER MD

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