08D1003225 CLIA NUMBER - BRANDYWINE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 08D1003225
  • Facility Name: BRANDYWINE MEDICAL ASSOCIATES
  • Facility Address: 2601 ANNAND DRIVE, SUITE # 23 HERITAGE PROFESSIONAL PLAZA
    WILMINGTON, DE
    ZIP 19808
  • Facility Phone: (302) 994-4406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHRYN E. FUCCI,MD
  • NPI Number: 1801843768
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D1003225
LAB Type Physician Office
Facility Name BRANDYWINE MEDICAL ASSOCIATES
Street 2601 ANNAND DRIVE, SUITE # 23 HERITAGE PROFESSIONAL PLAZA
City WILMINGTON
State DE
ZIP 19808
Phone 3029944406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director KATHRYN E. FUCCI,MD

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This page was last updated on: 5/18/2026