08D1043525 CLIA NUMBER - BRANDYWINE COUNSELING INC

Laboratory Demographics

CLIA Number: 08D1043525

Facility Name: BRANDYWINE COUNSELING INC

Facility Address:
2713 LANCASTER AVENUE
WILMINGTON, DE
ZIP 19805
Get Directions

Facility Phone Number: 302 656-2348

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1730274069

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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
CertificateType	4
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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