08D1065187 CLIA NUMBER - SEAFORD ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 08D1065187
  • Facility Name: SEAFORD ENDOSCOPY CENTER LLC
  • Facility Address: 13 FALLON AVENUE
    SEAFORD, DE
    ZIP 19973
  • Facility Phone: 302 629-7177
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MR. BRADLEY P. MACKLER
  • NPI Number: 1578608642
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D1065187
LAB Type Ambulatory Surgery Center
Facility Name SEAFORD ENDOSCOPY CENTER LLC
Street 13 FALLON AVENUE
City SEAFORD
State DE
ZIP 19973
Phone 302 629-7177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Ambulatory Surgery Center
Lab Director MR. BRADLEY P. MACKLER

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