08D0994771 CLIA NUMBER - SPINECARE DELAWARE LLC

Laboratory Demographics

  • CLIA Code: 08D0994771
  • Facility Name: SPINECARE DELAWARE LLC
  • Facility Address: 4102 OGLETOWN-STANTON ROAD,SUITE B
    NEWARK, DE
    ZIP 19713
  • Facility Phone: 302 894-1900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BONNIE OCONNOR
  • NPI Number: 1407836315
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D0994771
LAB Type Ambulatory Surgery Center
Facility Name SPINECARE DELAWARE LLC
Street 4102 OGLETOWN-STANTON ROAD,SUITE B
City NEWARK
State DE
ZIP 19713
Phone 302 894-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Ambulatory Surgery Center
Lab Director BONNIE OCONNOR

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