08D0965101 CLIA NUMBER - DOVER PLACE

Laboratory Demographics

CLIA Number: 08D0965101

Facility Name: DOVER PLACE

Facility Address:
1203 WALKER ROAD
DOVER, DE
ZIP 19904
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Facility Phone Number: 302 735-8800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1174077903

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

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