08D1005900 CLIA NUMBER - DELAWARE EYE SURGERY CENTER,LLC

Laboratory Demographics

CLIA Number: 08D1005900

Facility Name: DELAWARE EYE SURGERY CENTER,LLC

Facility Address:
18791 JOHN J WILLIAMS HWY
REHOBOTH BEACH, DE
ZIP 19971
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Facility Phone Number: 302 645-2300

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1770570467

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D1005900
LAB Type	Ambulatory Surgery Center
Facility Name	DELAWARE EYE SURGERY CENTER,LLC
Street	18791 JOHN J WILLIAMS HWY
City	REHOBOTH BEACH
State	DE
ZIP	19971
Phone	302 645-2300
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

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