08D0965101 CLIA NUMBER - DOVER PLACE

Laboratory Demographics

  • CLIA Code: 08D0965101
  • Facility Name: DOVER PLACE
  • Facility Address: 1203 WALKER ROAD
    DOVER, DE
    ZIP 19904
  • Facility Phone: 302 735-8800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: QUEENA MAST
  • NPI Number: 1174077903
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 08D0965101
LAB Type Assisted Living Facility
Facility Name DOVER PLACE
Street 1203 WALKER ROAD
City DOVER
State DE
ZIP 19904
Phone 302 735-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Assisted Living Facility
Lab Director QUEENA MAST

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