CLIA lab

CLIA 07D1085306: Evergreen Endoscopy Center LLC

South Windsor, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 07D1085306 belongs to Evergreen Endoscopy Center LLC in South Windsor, CT.

Certificate of Waiver, effective June 13, 2026, expires June 12, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 13, 2026
Certificate expiration
June 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 13, 2008
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
07D1085306
Lab name
Evergreen Endoscopy Center LLC
Address
2400 Tamarack Ave, Ste 100, South Windsor, CT 06074
Phone
(860) 646-6383
Fax
(860) 643-4988

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Evergreen Endoscopy Center LLC in South Windsor?

07D1085306, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Endoscopy Center LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 07D1085306 expire?

The CMS file lists June 12, 2028 as the certificate expiration date; the certificate took effect June 13, 2026.

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