08D0985571 CLIA NUMBER - FIRST STATE SURGERY CENTER

Laboratory Demographics

CLIA Number: 08D0985571

Facility Name: FIRST STATE SURGERY CENTER

Facility Address:
1000 TWIN C LANE,SUITE # 200
NEWARK, DE
ZIP 19713
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Facility Phone Number: 302 683-0700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1508846411

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D0985571
LAB Type	Ambulatory Surgery Center
Facility Name	FIRST STATE SURGERY CENTER
Street	1000 TWIN C LANE,SUITE # 200
City	NEWARK
State	DE
ZIP	19713
Phone	302 683-0700
CertificateType	4
CertificateEffectiveDate	4/23/2023
CertificateExpirationDate	4/22/2025
FacilityType	Waiver

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