08D1054655 CLIA NUMBER - PREMIERE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 08D1054655
  • Facility Name: PREMIERE PHYSICIANS
  • Facility Address: 314 E MAIN STREET, SUITE 103
    NEWARK, DE
    ZIP 19711
  • Facility Phone: 302 366-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGARD RENOUD
  • NPI Number: 1760580336
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D1054655
LAB Type Physician Office
Facility Name PREMIERE PHYSICIANS
Street 314 E MAIN STREET, SUITE 103
City NEWARK
State DE
ZIP 19711
Phone 302 366-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director AGARD RENOUD

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