18D1045833 CLIA NUMBER - EMMANUEL YUMANG MD PLLC

Laboratory Demographics

CLIA Number: 18D1045833

Facility Name: EMMANUEL YUMANG MD PLLC

Facility Address:
94 DOG PATCH TRADING CENTER SUITE 2
LONDON, KY
ZIP 40741
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Facility Phone Number: 606 877-1352

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730135138

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D1045833
LAB Type	Physician Office
Facility Name	EMMANUEL YUMANG MD PLLC
Street	94 DOG PATCH TRADING CENTER SUITE 2
City	LONDON
State	KY
ZIP	40741
Phone	606 877-1352
CertificateType	4
CertificateEffectiveDate	9/26/2023
CertificateExpirationDate	9/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024