07D2264058 CLIA NUMBER - MOULI ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 07D2264058
  • Facility Name: MOULI ASSOCIATES LLC
  • Facility Address: 216 HEMLOCK AVE, STE 103
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 471-8030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TALLAPUREDDY SATYARANI
  • NPI Number: 1598408809
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2264058
LAB Type Physician Office
Facility Name MOULI ASSOCIATES LLC
Street 216 HEMLOCK AVE, STE 103
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 471-8030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director TALLAPUREDDY SATYARANI

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