08D1043077 CLIA NUMBER - EGNM,LLC WAIVER DBA LEWES SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 08D1043077
  • Facility Name: EGNM,LLC WAIVER DBA LEWES SURGERY CENTER
  • Facility Address: 17015 OLD ORCHARD RD UNIT #4
    LEWES, DE
    ZIP 19958
  • Facility Phone: 302 644-3466
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EDMUND CARROLL
  • NPI Number: 1275642480
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D1043077
LAB Type Ambulatory Surgery Center
Facility Name EGNM,LLC WAIVER DBA LEWES SURGERY CENTER
Street 17015 OLD ORCHARD RD UNIT #4
City LEWES
State DE
ZIP 19958
Phone 302 644-3466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Ambulatory Surgery Center
Lab Director EDMUND CARROLL

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