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08D0903231 CLIA NUMBER - DELAWARE PEDIATRICS PA

Laboratory Demographics

CLIA Number: 08D0903231

Facility Name: DELAWARE PEDIATRICS PA

Facility Address:
1403 FOULK ROAD, SUITE 103
WILMINGTON, DE
ZIP 19803
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Facility Phone Number: 302 762-6222

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1811128242

Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

CLIA Record

Field Name Field Value
CLIA Number 08D0903231
LAB Type Physician Office
Facility Name DELAWARE PEDIATRICS PA
Street 1403 FOULK ROAD, SUITE 103
City WILMINGTON
State DE
ZIP 19803
Phone 302 762-6222
CertificateType 2
CertificateEffectiveDate 7/7/2023
CertificateExpirationDate 7/6/2025
FacilityType Compliance

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