08D1047639 CLIA NUMBER - CLAYMONT TREATMENT CENTER

Laboratory Demographics

CLIA Number: 08D1047639

Facility Name: CLAYMONT TREATMENT CENTER

Facility Address:
2999 PHILADELPHIA PIKE
CLAYMONT, DE
ZIP 19703
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Facility Phone Number: 302 792-0700

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1114079654

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	08D1047639
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	CLAYMONT TREATMENT CENTER
Street	2999 PHILADELPHIA PIKE
City	CLAYMONT
State	DE
ZIP	19703
Phone	302 792-0700
CertificateType	4
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Waiver

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