08D0970026 CLIA NUMBER - DELAWARE CARDIOVASCULAR ASSOCIATES

Laboratory Demographics

CLIA Number: 08D0970026

Facility Name: DELAWARE CARDIOVASCULAR ASSOCIATES

Facility Address:
1403 FOULK RD, SUITE 101
WILMINGTON, DE
ZIP 19803
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Facility Phone Number: 302 661-1661

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073567418

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	08D0970026
LAB Type	Physician Office
Facility Name	DELAWARE CARDIOVASCULAR ASSOCIATES
Street	1403 FOULK RD, SUITE 101
City	WILMINGTON
State	DE
ZIP	19803
Phone	302 661-1661
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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