07D2078193 CLIA NUMBER - EMINENCE CT LLC

Laboratory Demographics

  • CLIA Code: 07D2078193
  • Facility Name: EMINENCE CT LLC
  • Facility Address: 750 OLD MAIN ST, STE 203 A
    ROCKY HILL, CT
    ZIP 06067
  • Facility Phone: 860 436-9260
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KIMBERLY GONZALEZ
  • NPI Number: 1144094392
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 07D2078193
LAB Type Home Health Agency
Facility Name EMINENCE CT LLC
Street 750 OLD MAIN ST, STE 203 A
City ROCKY HILL
State CT
ZIP 06067
Phone 860 436-9260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Home Health Agency
Lab Director KIMBERLY GONZALEZ

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