45D0945655 CLIA NUMBER - EMMANUEL E SACKEY, MD PA D/B/A ENNIS CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 45D0945655
  • Facility Name: EMMANUEL E SACKEY, MD PA D/B/A ENNIS CHILDRENS CLINIC
  • Facility Address: 601 SOUTH CLAY SUITE 101
    ENNIS, TX
    ZIP 75119
  • Facility Phone: 972 875-5220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMANUEL E. SACKEY
  • NPI Number: 1417060724
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0945655
LAB Type Physician Office
Facility Name EMMANUEL E SACKEY, MD PA D/B/A ENNIS CHILDRENS CLINIC
Street 601 SOUTH CLAY SUITE 101
City ENNIS
State TX
ZIP 75119
Phone 972 875-5220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director EMMANUEL E. SACKEY

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