08D0973434 CLIA NUMBER - LEWES DE ENDOSCOPY ASC,LLC D/B/A SEASIDE ENDOSCOPY PAVILION

Laboratory Demographics

  • CLIA Code: 08D0973434
  • Facility Name: LEWES DE ENDOSCOPY ASC,LLC D/B/A SEASIDE ENDOSCOPY PAVILION
  • Facility Address: 34444 KINGS STREET ROW, SUITE 4A
    LEWES, DE
    ZIP 19958
  • Facility Phone: 302 644-3852
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAIRE RASCHDORF
  • NPI Number: 1578895645
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 08D0973434
LAB Type Ambulatory Surgery Center
Facility Name LEWES DE ENDOSCOPY ASC,LLC D/B/A SEASIDE ENDOSCOPY PAVILION
Street 34444 KINGS STREET ROW, SUITE 4A
City LEWES
State DE
ZIP 19958
Phone 302 644-3852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Ambulatory Surgery Center
Lab Director MAIRE RASCHDORF

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