07D2157864 CLIA NUMBER - EMMAUS HEALTH LLC

Laboratory Demographics

  • CLIA Code: 07D2157864
  • Facility Name: EMMAUS HEALTH LLC
  • Facility Address: 945 MAIN ST STE 205
    MANCHESTER, CT
    ZIP 06040
  • Facility Phone: 860 553-3020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLY A. PFEIFFER APRN
  • NPI Number: 1922586809
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2157864
LAB Type Practitioner Other
Facility Name EMMAUS HEALTH LLC
Street 945 MAIN ST STE 205
City MANCHESTER
State CT
ZIP 06040
Phone 860 553-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Practitioner Other
Lab Director KELLY A. PFEIFFER APRN

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