08D0934170 CLIA NUMBER - FIRST STATE WOMEN'S CARE, P A

Laboratory Demographics

CLIA Code: 08D0934170
Facility Name: FIRST STATE WOMEN'S CARE, P A
Facility Address: 4745 OGLETOWN STANTON ROAD, SUITE 106, 200
NEWARK, DE
ZIP 19713
Facility Phone: 302 454-9801
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: DR. GORDON J. OSTRUM JR
NPI Number: 1902970916
Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name	Field Value
CLIA Number	08D0934170
LAB Type	Physician Office
Facility Name	FIRST STATE WOMEN'S CARE, P A
Street	4745 OGLETOWN STANTON ROAD, SUITE 106, 200
City	NEWARK
State	DE
ZIP	19713
Phone	302 454-9801
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	10/1/2025
Certificate Expiration Date	9/30/2027
Facility Type	Physician Office
Lab Director	DR. GORDON J. OSTRUM JR

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