08D1043525 CLIA NUMBER - BRANDYWINE COUNSELING INC

Laboratory Demographics

  • CLIA Code: 08D1043525
  • Facility Name: BRANDYWINE COUNSELING INC
  • Facility Address: 2713 LANCASTER AVENUE
    WILMINGTON, DE
    ZIP 19805
  • Facility Phone: 302 656-2348
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. LYNN FAHEY
  • NPI Number: 1730274069
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 08D1043525
LAB Type Practitioner Other
Facility Name BRANDYWINE COUNSELING INC
Street 2713 LANCASTER AVENUE
City WILMINGTON
State DE
ZIP 19805
Phone 302 656-2348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Practitioner Other
Lab Director DR. LYNN FAHEY

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