08D0976531 CLIA NUMBER - TIDAL HEALTH CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 08D0976531
  • Facility Name: TIDAL HEALTH CARDIOLOGY
  • Facility Address: 200 FEDERAL STREET
    SEAFORD, DE
    ZIP 19973
  • Facility Phone: 302 629-9099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD P. SIMONS
  • NPI Number: 1245214477
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 08D0976531
LAB Type Physician Office
Facility Name TIDAL HEALTH CARDIOLOGY
Street 200 FEDERAL STREET
City SEAFORD
State DE
ZIP 19973
Phone 302 629-9099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director DR. RICHARD P. SIMONS

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